This role requires hybrid in-office work at our HQ office in Arlington, VA
Under the direction of the Sr. Manager, Revenue Cycle Management, the Insurance Credit Resolution Specialist is responsible for complete, accurate and timely processing of all assigned insurance related credits. Processing of these credits includes reviewing and responding to daily correspondence from physician practices in a timely manner, answering incoming inquiries, preparing insurance refund checks for mailing, and processing returned checks.
- Implement payer specific workflows for void requests, take back requests and insurance refund initiations
- Research and resolve overpaid and denied claims in athenaNet
- Use Salesforce to manage worklists and requests/inquiries from Care Centers
- Successfully process 35+ insurance refunds daily
In office specific duties: - Utilize athenaNet software to identify and print appropriate insurance refund letters
- Enter insurance refund check #s into athenaNet for tracking
- In the absence of a payer refund letter, use letter template to make custom refund letters
- Prepare checks to be mailed including matching checks with refund letter, folding, inserting, addressing and sealing envelopes
- Sorting checks by payer
- Retrieve and process returned checks accordingly
- Other duties as needed