Medical Billing Refund Analyst

Description

Established in 1970, Orthopedic Associates of Hartford, P.C., is one of the areas largest orthopedic practices with office locations throughout greater Hartford. 

Our growing practice is currently seeking a Refund Analyst with Epic experience to join our Billing & Collections team in our Farmington business office. The successful candidate will be a team player who is dependable, organized, enthusiastic, and detail oriented. Important to this position is the ability to build relationships with our customers, both internal and external to promote feedback and timely resolution of outstanding credit balance claims. Proficiency in many computer software programs is required as well as an understanding of insurance payment methodologies to insure accurate reimbursement. A positive "can-do" attitude is a must.

Responsibilities include:

• Research, analyze and resolve outstanding credit balance claims.   
• Process refunds for insurance companies and patients. 
• Provide documentation for submitted refund approvals.
• Post payment corrections and adjustments as needed.
• Update the billing system to ensure that refunds are properly noted.
• Work closely with third parties throughout the resolution process.
• Issue refund denial letters.
• Ensure complete, accurate, and timely account notation and documentation. 
• Review and complete assigned Epic work queues.
• Examine payer policies. 

PM22

Requirements

• A minimum of a High School diploma or GED
• Minimum of two years recent physician or hospital patient or insurance refund experience required.
• Excellent written & verbal communication skills and professional telephone manner.
• Organized and detail-oriented with excellent follow-up skills.
• Excellent time management skills.
• High level of accuracy required.
• Effective problem solving and analytical thinking skills.
• Relative medical experience working with insurance companies required.
• Ability to read and understand HCFA’S and remits required. 
• Ability to work well under pressure, and exercise sound judgement and discretion.
• Knowledge of Medicare, Medicaid and commercial payer reimbursement policies and      procedures.
• Responsible for being a key contributor for a harmonious working environment.
• Effective team player.
• Previous Epic experience preferred.
• Other tasks as assigned.