4 Rev Cycle Specialist - (Refunds) Jobs in New Providence, NJ

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Revenue Cycle Specialist

PRISM Vision Group

New Providence, NJ | Full Time

$70k-92k (estimate)

1 Week Ago

Rev Cycle Specialist - (Refunds)

PRISM Vision Group

New Providence, NJ | Full Time

$57k-73k (estimate)

1 Week Ago

Rev Cycle Specialist (Self-Pay)

PRISM Vision Group

New Providence, NJ | Full Time

$61k-80k (estimate)

3 Weeks Ago

Rev Cycle Specialist (COPAY ASSIST SPECIALIST)

PRISM Vision Group

New Providence, NJ | Full Time

$55k-71k (estimate)

2 Weeks Ago

Rev Cycle Specialist - (Refunds)

PRISM Vision Group New Providence, NJ

$57k-73k (estimate)

Full Time 1 Week Ago

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PRISM Vision Group is Hiring a Rev Cycle Specialist - (Refunds) Near New Providence, NJ

Review overpaid accounts through requests from systems, patients, and insurance companies.
Review posting errors.
Work to identify any unclaimed property to escheat to different states.
Review spreadsheets sent from third-party overpaid companies of accounts not claimed.
Review all correspondence from insurance to determine if the refunds requested show both the payer's payments and to determine overpaid accounts and payment errors.
Review CMS requests for recoups and payer errors for redetermination. Adheres to compliance with CMS and other payer guidelines.
Ensure confidentiality of all patient accounts by following HIPAA guidelines

Assist in Medical records auditors that come to the CBO location meet and greet.
Assist in Sending Medical Records as requested by insurance carriers.

Attends in-services, education sessions, and department meetings as scheduled.
Maintains a working knowledge of all Prism systems (e.g. Athena, MDI, Teams, ModMed, Navinet)

Able to review Excel spreadsheets and modify reports as needed.
Work with Accounts payable for release of checks to be mailed for refunds.
Assist and back up payment posters desk which includes pulling payments of portals to upload to systems.