Refund Specialist

Description

About the Role:

Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve.

The Refund Specialist (Remote in TX, NC, SC, or FL) will accurately identify payor and patient credits, audits Explanation of Benefits (EOBs), insurance denials and Private Practice billing transactions in the NextGen system. The Refund Specialist also communicates with CPA staff members and resolves posting issues as they arise.

Responsibilities

• Audits encounters and accounts with payer and patient credits in the NextGen system to determine where the credit belongs. 
• Processes tasks and emails from CPA staff members identifying overpayments. 
• Manually processes patient credits via PayJunction, InstaMed, and/or paper checks.  
• Receives takeback EOBs from payer and posts takeback warning in NextGen system.
• Processes chargebacks in InstaMed. 
• Receives emails identifying chargebacks in InstaMed.
• Provides proof of signed Credit Card Authorization signed by patients giving CP authority to charge patient’s credit card to Credit Card vendor initiating chargeback.
• Manages InstaMed tickets submitted by CPA staff members and assisting with charge/batch issues.
• Maintains required reports as defined by Supervisor or Manager of Operations
• Actively participates in staff meetings in a positive and constructive manner.
• Maintains effective communication and cooperative working relationships with other departments, staff, medical staff, patients, and visitors.

Qualifications

• High school diploma or equivalent
• 6 months experience with follow-up, auditing, and payment posting
• Knowledge of payer websites, processes, local, state, and federal requirements
• Proficiency with Microsoft Office (Outlook, Excel, and Word)
• Strong math, analytical and reasoning skills
• Ability to prioritize, multi-task and work independently

The Benefits
We offer a robust benefits package to include:

• Medical, Dental, Vision, and EAP
• LTD/Life Insurance
• 401k with employer match
• PTO accrual starting at 15 days per year
• Paid Parental Leave
• Tuition Reimbursement Program

About Mindpath Health

Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve. As a national leader in mental health services, we are reimagining care delivery, reaching patients and focus on clinical excellence. With a team of more than 500 mental health clinicians, Mindpath Health provides a broad spectrum of psychiatry, interventional psychiatry (including TMS and esketamine) and psychotherapy care.

At Mindpath Health, we offer telehealth and in-person visits and coordinate care with primary care physicians and referring providers to ensure a focus on the total health. Mindpath Health is in-network with most major health insurance providers and has more than 80 locations across California, North Carolina, South Carolina, Florida, Texas, Arizona, and growing.

Join our community and discover how rewarding work can be!

Mindpath Health is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, ancestry, age, disability, veteran status, or any other status legally protected by federal, state, or local law.