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Refund Manager Jobs

Company

Ventra Health, Inc.
Address , Remote
Employment type FULL_TIME
Salary
Expires 2023-10-18
Posted at 8 months ago
Job Description
Overview:

Job Summary:

  • The Refund Manager is responsible for the for the daily operations of the Credit Balance & Refunds department.
Responsibilities:

Essential Functions and Tasks:

  • Manages credit balance inventory to ensure credit balances and refund requests are resolved within expected turnaround times for both patient and insurance refund inventory.
  • Track trends to monitor opportunities for enhancements, innovative solutions, and continuous process improvements.
  • Supervises and trains assigned staff, including 1-2 supervisors, ensures performance appraisals are conducted, makes employment and discipline recommendations, and coordinates work assignments.
  • Tracks, maintains, and monitors employee metrics and ensures quality audits are completed timely and consistently.
  • Participates in development and delivery of employee training courses and materials.
  • Interacts with clients and Client Services teams by answering inquiries, providing credit balance reports, project updates, etc.
Qualifications:

Education and Experience Qualifications:

  • Experience with EMR optimization, systems enhancement, and/or Centricity Business is preferred.
  • Two (2) years of supervisory/management/leadership experience is required.
  • Four (4) years of experience working with commercial, government, and third party liability insurances; a strong working knowledge of payer adjustments and remark codes is required.
  • Four (4) years of revenue cycle experience, with emphasis in Cash Applications, AR, or Denials.
  • Bachelor’s degree in Healthcare, Business, Finance, or similar is preferred. Experience can be substituted for education, or a combination thereof.
  • Two (2) years of direct experience with coordination of benefits, refunds, and Medicare reporting preferred.

Knowledge, Skills, and Abilities:

  • Ability to read, understand, and apply state/federal laws, regulations, and policies.
  • Strong financial analytics background.
  • Strong supervisory/management skills.
  • Strong working knowledge of department roles and responsibilities.
  • Ability to learn and work in multiple systems.
  • Ability to communicate with diverse personalities in a tactful, mature, and professional manner.
  • Strong word processing, spreadsheet, database, and presentation software skills.
  • Experience processing electronic and manual payer EOBs, including the posting of insurance allowable, patient portions, denials, adjustments, and contractual allowances.
  • Strong oral, written, and interpersonal communication skills.
  • Ability to remain flexible and work within a collaborative and fast paced environment.
  • Ability to draft SOPs and department policies.
  • Strong interpersonal skills.
#LI-REMOTE