Refunds Representative (REMOTE)

Full Time
Antioch, TN 37013
Posted
Job description

Physician Practice Support (PPS) is a wholly owned subsidiary of Community Health Systems (CHS).

Essential Duties and Responsibilities: Include the following. Other duties may be assigned.

  • Researches credit balances to determine if refund is needed for payer or patient
  • Moves unapplied/misapplied money and follows process for issuing refund.
  • Prepares documents for scanning

Supervisory Responsibilities: This job has no supervisory responsibilities

Competencies: To perform the job successfully, an individual should demonstrate the following competencies:

Analytical - Collects and researches data; Uses intuition and experience to complement data

Customer Service - Responds promptly to customer needs

Interpersonal Skills - Maintains confidentiality of all patient information and company documents

Oral Communication – Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions

Written Communication – Writes clearly and informatively; Edits work for spelling and grammar; Presents numerical data effectively; Able to read and interpret written information

Professionalism - Approaches others in a tactful manner; Treats others with respect and consideration regardless of their status or position

Quality - Demonstrates accuracy and thoroughness

Quantity - Meets productivity standards

Adaptability - Adapts to changes in the work environment

Attendance/Punctuality - Is consistently at work and on time

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience Preferred: High school diploma or general education degree (GED); 3 years experience with insurance billing requirements and account follow-up procedures including experience researching and resolving claims denied by insurance carriers, and a general understanding of ICD9 and CPT coding; or equivalent combination of education and experience.

Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations.

Reasoning Ability: Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.

Computer Skills: To perform this job successfully, an individual must have knowledge of general computer applications and practice management systems.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. The employee is occasionally required to reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

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