• Providing guidance in determining if a refund request is appropriate and can be supported and processed
• Taking inventory of charged transactions when less than zero making this secondary priority
• Manage problem and resolution of refund questions that arise
• Consistent review of accounts, prioritizing those less than zero and ensuring prompt resolution
• Successfully managing credit balances, and providing guidance and clarity as needed
• Making determination of primary payors when multiple payments come in, and ability to determine appropriate adjustments needed
• Consistent in maintaining company standards and adherence to proper ethics when dealing with credit balances

• 3 or more recent years’ experience in Private Care refunds, Medical Claims, Claims Adjustments, health plan transactions, eligibility, and payment activities
• Knowledge of Medicare, Medicaid, and AthenaHealth Software

• Experience in MS Suite, Excel, and proficiency with computer systems
• Knowledge of medical terminology
• Can maintain high detail in a fast-paced environment, skilled in problem resolution
• Highly professional, and ability to communicate in a professional manner and eager to take on new responsibilities
• Ability to focus on and complete assigned tasks efficiently and accurately

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.

Equal Opportunity Employer/Veterans/Disabled

To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.lhh.com/us/en/candidate-privacy

The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.