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Form of workJob Description
Job Description and Responsibilities
Join a team of dynamic, results oriented professionals!
Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine.
Named among “Great Places to Work" by Becker’s Hospital Review
- Career Growth Opportunities
- Convenience market on site
- Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
- 401K program (Discretionary matching funds available)
- Employee Assistance Program
- Referral Program
- Dental plans & Vision plans
- Eight Paid Holidays per year
- Quarterly incentive plans
- Training Programs
- Fitness Center with personal trainer on site
- Wellness programs
- Flexible work schedule
JOB DESCRIPTION OVERVIEW:
This position is responsible for reviewing/processing reports and correspondence in ETM system related to credit balances, refund requests, recoups, payment research, and unidentified payments for emergency services business line.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Processes guarantor, Medicare, Medicaid, Champus, Federal, and other situations for all groups to determine refund status.
- Assembles appropriate documentation to validate refunds and forward to senior for approval.
- Answers customer service calls.
- Contacts insurance carriers/guarantors as necessary on credit balances, offsets, payment research invoices, mail correspondence, unidentified payments, and other reasons as needed.
- Handles correspondence related to credit balances according to current policy and procedures.
- Processes transfer of payment.
- Researches cancelled checks to determine if a check has been endorsed and cashed but not posted to the patient’s account.
- Retrieves and processes NSF checks from the appropriate secured website.
- Reports consistent errors identified that affect accounts from being processed correctly.
- Maintains knowledge of ETM system.
- Consults senior/supervisor for unusual circumstances that may include refunds, offsets, unidentified, etc.
- Performs other duties as assigned by Senior Representative, Overprovisions Supervisor and Patient Accounts Manager.
