Customer Service Representative - Ampcus Incorporated

• Retrieves and review documentation, refund correspondence, contacts payer to discuss (if necessary) refunds requests, corrects misapplied transactions and process refunds.

• Reviews Daily credit balance report, process Insurance refunds, retrieves EOR and validates the appropriate contract terms used, applies appropriate adjustment or transactions necessary to process refund or resolve credit.

• Prepares and submits refund disputes letters to payers timely.

• Summarizes and documents account expected reimbursement and all payment and adjustments transactions clearly and accurately.

• Documents all activity taken to an account in the (HIS) Hospital Information System (Epic).

• Writes clear, concise and grammatically account notes in Hospital Information System (Epic).

 

Required Experience:
• Epic experience
• Patient Overpayment review/Refund
• Self-Pay Collections experience