Recoupment Representative, Client Financial Services

Brightli
US - Missouri - Springfield
January 8, 2025

Job Title: Recoupment Representative

Location: Springfield, Missouri

Department: Client Financial Services

Employment Type: Full-Time

Shift: Mon-Fri 8am-5pm

Job Summary:

Are you a passionate and dedicated professional looking to make a positive impact in the financial operations of our healthcare organization? Do you want to work in a supportive and dynamic environment where you can grow your skills and advance your career? Join our team as a Recoupment Representative, Client Financial Services!

As a Recoupment Representative, Client Financial Services, you'll review and process insurance overpayment requests, insurance credit balances, compliance audit repayments, and client credit balances. You'll collaborate and work with team members throughout the system to recover funds. Our ideal candidate is passionate about financial services in healthcare, has experience in billing, collections, or payment processing, and strong analytical and communication skills.

Springfield, Missouri offers a high quality of life, with a vibrant community, affordable cost of living, and beautiful natural surroundings. Join us in ensuring financial excellence and advancing your career!

The Recoupment Representative position offers.

All-Inclusive Employee Benefits Package- A robust full-time employee benefits package encompassing health, dental, vision, retirement, disability, life insurance, wellness program, and more
Telemedicine - 24/7 phone, web, or mobile app medical, behavioral health, & dermatology visits
Employee Assistance Program- 24/7 counseling services, legal assistance, & financial consultation for you and your household at no cost
Paid Time Off - 29 days per year including vacation & holiday pay
Workplace Culture - An environment cultivating employee wellbeing, valuing each individual's humanity, and actively promoting healthy, joyful workforce engagement

Key Responsibilities:

Collaborate with the Compliance department to manage audit repayments and ensure thorough tracking for completeness.
Analyze accounts receivable balances to identify and address insurance credit balances requiring resolution or repayment.
Assess client payment credit balances on accounts and take necessary actions for resolution or repayment.
Prepare refund request forms and compile supporting documentation for submission to the Accounts Payable department for repayment or initiate recoupment processes.
Assist Compliance in repayment of services identified within an internal audit review for federally funded payers.
Initiate and release guarantor holds in the electronic health system for client charts where an internal audit is being conducted.
Review and validate insurance overpayment letters for federal and non-federal payers.
Dispute requests for overpayment as necessary.
Address client credit balances and review services for insurance payer credit balances.
Respond promptly to phone calls or emails regarding credit balance resolution or refunds.
Process check refund requests with proper documentation in the electronic health system.
Monitor and initiate voided claims, following through to recoupment.
Document workflows.
Perform other duties as needed.

Education and/or Experience Qualifications:

High school diploma or General Educational Diploma (GED) is required.
Preferably certified in Billing and/or Coding.
At least two years of experience in a healthcare setting, with a focus on billing, collections, payment processing, or denial management.
Experience with Missouri Certified Community Behavioral Health Organization (CCBHO) and managed care organization (MCO) billing is advantageous.

We are an Equal Opportunity and Affirmative Action Employer, and encourage applications from all qualified individuals without regard to race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, age, marital status, disability or veteran status, or to other non-work related factors.

Burrell is a Smoke and Tobacco Free Workplace.

Read the full job description and apply online on the recuiter's web-site

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