Description :
Performs weekly work queue assignments. Systematically analyze and audit for any overpayments and apply billing rules to determine appropriate party to refund.
Appropriately research misapplied, undistributed, incentive payments and distribute or undistributed, contractual adjustments or request refunds for various types of payors.
Based on interpretation of the EOB, appropriately posts and / or reverse contractual adjustments or allowances. Determine any system errors and submit to Manager.
Process correspondence for assigned accounts and take appropriate action.
Receive patient inquiries regarding status of refunds, using good judgment in interpreting questions, educating and resolving issues as professionally as possible.
Research and analyze status of insurance refunds and communicate professionally with insurance companies regarding status of requests, paid / pending claims and the rebilling of unpaid claims.
Determines and submits appropriate documentation for refund approvals and follows guidelines as outlined in FPBO policies and procedures or instructions provided.
Ensure that registration data is accurate and updated, utilizing all available data resources as determined by FPBO and transfer any claims that require charge corrections to the assigned party.
Provides on-line documentation per account and performs proactive follow-up using Tickler List.
Through careful research and interpretation, determines financial responsibility of refund balance.
Works rejected refund requests on a daily basis.
About TEKsystems :
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity.
We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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