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Job Title : Refund Specialist
Location : Federal Way, WA / Remote
Duration : 6 months
No. of positions : 5
Supplier Call Notes :
Top Skills : Overpayment Remediation, Refund experience, Multi-Task
Notes :
Need to have overpayment remediation experience.
Will have to go into all the claims and examine why they were overpaid by the insurance providers.
Need to take action like refund the insurance provider, posting corrections.
Need to be able to do 20-25 claims per day and accuracy has to be at least 90%.
Look for candidates who are Overpayment Remediation, Refund Specialists.
Manager does not want to see someone coming from Banking or Dental billing experience.
Bi-weekly performance checks will be done
Job Description :
Excited to grow your career?
DaVita is currently looking for a Refund Specialist for our Credits Team in our Revenue Operations Department. Individuals who excel in this role are highly ambitious, results driven, and willing to "think outside the box.
This position requires a high level of attention to detail and the ability to work well as part of a fast paced team. The ideal candidate has a high level of multitasking abilities, strong mathematical and analytical skills, and is driven by resolving open balances with the goal to prevent future rework.
In this position, you will analyze EOBs and / or payor correspondence to reconcile system credit balances or potential overpayments, research and resolve problem accounts, and request adjustments.
You will effectively identify trends and analyze root causes to drive work efficiently within the team. Hybrid and remote position available.
All necessary equipment is provided.
ESSENTIAL DUTIES AND RESPONSIBILITIES :
Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer);
actions included but not limited to initiating refund packets, retractions, and / or adjustments to claims
Qualifications :
What Well Provide :
All necessary workstation equipment
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong.
Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are.
We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Schedule : Hourly Monday- Friday 8 hour shift, 40 hours per week (includes a clocked out 30 minute lunch every day) OT not available except upon Leadership approval for special circumstances / projects
First days :
o PST : 8 am 4 : 30 pm
o MST : (7 : 30 4 PM PST)
o CST : 8 : 30 am 5 pm (6 : 30 am 3 pm PST)
o EST : 9 am 5 : 30 pm (6 am -2 : 30 pm PST)
days subject to change based on approval and meeting metric and performance expectations autonomously.
Work Environment : Hybrid or Remote. Role requires a stationary, designated, and HIPPA Compliant workspace. Traveling with equipment is not permitted.
Full Time
Business Services
$44k-54k (estimate)
03/25/2024
05/16/2024
e-solutionsinc.com
ALBANY, NY
1,000 - 3,000
2003
MICHAEL MULLIN
$50M - $200M
Business Services
"Empowering Technology Services Founded in 2003, we are in our 19th year of structured growth. We are a talent-driven, talent acquisition company providing individual consultants, project teams, and strategic outsourcing services to clients in a wide range of industries. E-Solutions, Inc. is a certified minority-owned staffing firm spearheaded by industry experts. We offer award-winning solutions for the Global Talent Cloud. Our services include: Staff Augmentation IT Outsourcing Business Process Outsourcing We leverage our recruiting expertise to deliver high-end consulting services for a ...variety of engagements. E-Solutions, Inc. has developed a business structure with no boundaries, which means we work as one collective entity. Our MSP partners and end customers have recognized our commitment to a partnering supplier model enabling us to expand to our present feat: 8 Nations 32 Operational Centers 1800+ Workforce Revenue ~$100+ Million Top 10 vendor for $10 Billion System Integrator Our clients extend from Fortune 500s to IT Companies, and we're experts at finding the right combination of solutions & solutions to fit any company's unique environment. We place professionals in contract, contract-to-hire, permanent hire, and statement-of-work-based positions with industry forerunners and innovative start-ups. We partner with talent ranging from IT professionals to engineering to skilled trades and many more. Our vast experience has provided us with a depth of knowledge that spans across industries and technologies. The following are the industry verticals, which we serve:- BFSI ITES Healthcare Energy & Utilities Light Engineering Manufacturing Warehouse & Logistics Administrative & Support Services Disclaimer E-Solutions Inc. Provides Equal Employment Opportunities (EEO) To All Employees And Applicants For Employment Without Regard To Race, Color, Religion,
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