Amerita
OverviewThe Refund/Dispute Specialist is responsible for processing incoming payer refund requests by researching to determine whether the refund is appropriate or a payer dispute is warranted in accordance with applicable state/federal regulations and company policies. The Refund/Dispute Specialist works closely with other staff to identify, resolve, and share information regarding payer trends and provider updates. The employee must have the ability to prioritize, problem solve, and multitask. Above all, qualified candidates should possess exceptional internal and external customer service skills and actively promote Amerita's company culture.
Schedule: 7am-3:30pm (MST) Monday- Friday
• High-quality, affordable benefits for all Full-time and Part-time Employees
• Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
• Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
• 401(k) Retirement Plan with Employer Match
• Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
• Employee Discounts
• Tuition Reimbursement
• Paid Time Off & Holidays
*Position will be posted for a minimum of 7 business days
Responsibilities Reverses or completes necessary adjustments within approved range.Ensures daily accomplishments by working towards individual and company goals for cash collections, credit balances, medical records, correspondence, appeals/disputes, accounts receivable over 90 days, and other departmental goalsUnderstands and adheres to all applicable state/federal regulations and company policiesUnderstands insurance contracts in terms of medical policies, payments, patient financial responsibility, credit balances, and refundsVerifies dispensed medication, supplies, and professional services are billed in accordance to the payer contract. Validates accuracy of reimbursement and the appropriate deductible and cost share amounts billed to the patient per the payer remittance advice.Reviews remittance advices, payments, adjustments, insurance contracts/fee schedules, insurance eligibility and verification, assignment of benefits, payer medical policies and FDA dosing guidelines to determine if a refund or dispute is needed. Completes payer/patient refunds as needed and validates receipt of previously submitted refunds/disputes.Creates payer dispute letters utilizing Amerita’s standard dispute templates and gathers all supporting documentation to substantiate the dispute. Submits disputes to payers utilizing the most efficient resources, giving priority to electronic solutions such as payer portals. Scans and attaches disputes to patient’s electronic medical record in CPR+.Works closely with intake, patients, and payers to settle coordination of benefit issues. Communicates new insurance information to intake for insurance verification and authorization needs. Submits credit rebill requests as needed to the billing department or coordinates patient-initiated billing efforts to insurance companies. Initiates and coordinates move and cash research requests with the cash applications department. Utilizes approved credit categorization criteria and note templates to ensure accurate documentation in CPR+Works within established departmental goals and performance/productivity metricsIdentifies and communicates issues and trends to management Qualifications High School diploma/GED or equivalent required; some college a plusA minimum of one to two (1-2) years of experience in revenue cycle management with a working knowledge of Managed Care, Commercial, Government, Medicare, and Medicaid reimbursementWorking knowledge of automated billing systems; experience with CPR+ and Waystar a plusWorking knowledge and application of metric measurements, basic accounting practices, ICD 9/10, CPT, HCPCS coding, and medical terminologySolid Microsoft Office skills with the ability to type 40+ WPMStrong verbal and written communication skills with the ability to independently obtain and interpret informationStrong attention to detail and ability to be flexible and adapt to workflow volumes Knowledge of federal and state regulations as it pertains to revenue cycle management a plus
Flexible schedule with the ability to work evenings, weekends, and holidays as needed About our Line of Business Amerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visit www.ameritaiv.com. Follow us on Twitter and LinkedIn. Salary Range USD $18.00 - $20.00 / Hour Options Apply NowApplyShareEmail this job to a friendRefer Sorry the Share function is not working properly at this moment. Please refresh the page and try again later. Share on your newsfeed iCIMS Application FAQs
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information.
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