Who is EMS|MCÂ
EMS|MC offers full-service revenue cycle management solutions and is the largest billing services provider focused exclusively on emergency medical services in the U.S. We offer services from software to hardware to billing services and everything in between. Â
For over 25 years, our high-quality service, results and customer-centric approach have set the standard in professional EMS billing. We have an emphasis on patient satisfaction and our client customization enables us to fulfill our mission of providing value-added, innovative financial services that enhance the delivery of a cost-effective EMS system.Â
With this level of specialization, we have built a team of dedicated, industry-leading experts with unprecedented experience to maximize our clients EMS revenue.  Â
Why EMS|MC:Â
- Career development plans and employee resource groupsÂ
- Weekly wellness seminarsÂ
- Comprehensive benefit package including medical, dental, vision and life insuranceÂ
- Remote opportunitiesÂ
- All equipment providedÂ
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Â
Job Type:Â Full-timeÂ
Location: Remote- USAÂ
Title: Refunds Specialist Â
About the role:Â
This position is responsible for identifying, addressing and quality auditing all aspects of overpayments and needed refunds.Â
As a Refunds Specialist with EMS|MC, you will:
- Identify when a refund is required
- Prepare a “packet” containing the essential paperwork to initiate a required refundÂ
- Monitor workflows to ensure the team’s established turnaround time goal is achieved or exceeded
- Maintain client-specific processes to achieve highest client satisfaction
- Coordinate with internal teams in the processing of recoupments and payment transfers
- Review internal company documents and make suggestions of required updates Â
- Create new and update existing job aids and sops when needed for the Refund Department
- Quality audit team members refund paperwork to ensure the refund is compliant and the obligatory documents have been includedÂ
- Provide feedback, coaching and training to business partners which perform tasks related to refunds
- Act as the liaison between the client, business partner and internal Â
- Answer phone calls quickly and in a pleasant, professional mannerÂ
- Professional written and oral communication to all clients, business partners and internal customers
- Consistently support and demonstrate the company mission and values
- Deliver refund documents by email or the secured file transfer protocol ensuring PHI and financial documents are delivered to the correct recipient Â
- Provide administrative support as directed
- Research and respond to inquiries in a timely manner  Â
- Perform other necessary tasks as assigned by manager
- Follow all HIPAA compliance guidelinesÂ
Requirements
You will be successful in this role if you:
- High School Diploma
- Intermediate Excel skills with the ability to manipulate dataÂ
- Ability to collaborate effectively with multi-departmental and diverse teamsÂ
- Strong, accurate typing and data entry skills
- Highly organized with ability to be proactive, manage time, and prioritize work with little supervision
- Willing and able to adapt to changes in work environment, procedures, priorities, schedule, and job duties
Key skills we hope you have:
- Knowledge of HIPAA requirements and regulations
- Previous medical billing experience
- Understanding of Medicare, Medicaid, commercial, liability and patient reimbursement/billingÂ
- Solid understanding of insurance and liability payment methods and regulations
Working Environment/Physical Requirements
- General office environment
- Typing, sitting, standing, walking, some light lifting
- Use of basic office equipment such as computer, fax, printer, copier, telephone, scanner
- Infrequently required to work extended hours without advanced notice due to business needs
Work at Home Requirements:Â
- A quiet, distraction-free environment to work from in your home. Â
- A secure home internet connection with a minimum download speed of 20 Mbps and a minimum of 10 Mbps for uploads is required.  Â
- The workspace area accommodates all workstation equipment and related materials and provides adequate surface area to be productive.Â
EMS|MC is an equal opportunity employer that does not discriminate based on race, color, religion, sex or gender, gender identity or expression, sexual orientation, national origin, age, disability status, veteran status, genetic information, or any other legally protected status.Â
We believe that a diverse workforce fosters innovation and creativity, enriches our culture, and enables us to better serve the needs of our clients and communities. We welcome and encourage individuals of all backgrounds, perspectives, and abilities to apply.Â