Key Responsibilities
Account Analysis: Reviewing patient ledgers, Explanation of Perks (EOBs), and remittance advice to determine why overpayment happened.
Overpayment Identification: Checking if the credit came from an insurance company (e.g., dual coverage) or the patient (e.g., upfront deductible plus later insurance payout).
Refund Processing: Generating refund checks, transferring funds to other outstanding claims, or issuing adjustments.
Compliance: Adhering to state-specific escheatment laws and federal regulations to prevent fraudulent billing practices. Eligibility & Skills:
Proficiency in medical billing software and MS Office.
Solid analytical skills.