Payment Posting - Insurance Refunds Representative

At OSS Health, our mission is to continually strive to be the healthcare leader in quality, innovation and value. We make every effort to understand and exceed the expectations and needs of our patients. We are committed to providing an environment that is safe, respectful, and dignified at all times.

Joining OSS Health means joining a culture of excellence and teamwork, with a strong focus on employee development and community support. OSS Health offers a great work environment, professional development opportunities, meaningful careers, and competitive compensation.

Are you ready to provide a 5-star “OSSOME” experience? Apply today!

JOB SUMMARY:

Reporting to the Revenue Cycle Manager, the Payment Posting - Insurance Refunds Representative is a key member of the Revenue Cycle team responsible for reviewing insurance overpayments, submitting voided claims, discovery to the payers or issue a refund check the insurance company.

SCHEDULE:  Monday - Friday 6AM-2:30pm

ESSENTIAL DUTIES AND RESPONSIBILITIES:

·         Reviews overpayment documentation, EOBs and AR Task Notes to determine if a refund is valid.

·         Collaborates with Payment Posting, Insurance AR Follow-up, Billing, Revenue Integrity, and Accounts Payable.

·         Reconciles adjustments, refunds and payments.

·         Escalates difficult or recurring issues to the Payment Posting Team Lead.

·         Demonstrates good judgment in safeguarding OSS information to include confidentiality of all medical and patient information.

·         Follows all policies and procedures of OSS.

·         Other duties as assigned.

EDUCATION:

·         High school diploma or GED required OR 5 years of work experience. An associate degree from a Medical Billing program is preferred.

EXPERIENCE/QUALIFICATIONS:

·         At least 2 years of experience in medical payment posting for a hospital, clinic, or doctor’s office required.

·         Must possess excellent organizational, time management, and communication skills.

·         Must be able to prioritize duties and communicate directly with insurance companies, patients, physicians, co-workers and  . 

·         Extensive experience posting Electronic Remittance Advices (ERA) and paper remittances, reviewing lock boxes, auto posting files, and balancing all cash postings              back to remittance and daily deposit totals.

·         Must be a team player and willing to work with all staff to get the overall job accomplished.  Must maintain a cooperative working relationship with all and handle              difficult situations tactfully.

·         Experience with Medent or CPSI software preferred.

·         Must have the ability to review and understand written material pertaining to orthopaedics and health care, including terminology and reimbursement issues.