Payor Services Representative
Wheaton Franciscan Healthcare 9001 - Milwaukee, WI

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Maintain overpayment accounts to insure credits are resolved in a timely manner. Research all refund request received from departments to insure appropriate refunding to insurance carriers any money due. Maintain all correspondence from insurance carriers to insure timely response to all request for refunds. Follow all guidelines established for government plans to insure timely refunds. Follow-up with all details of investigation to ensure accurate resolution of credit balance. Completes appropriate forms for refunds and adjustments. Manually adjust allowances based upon guidelines.
Appropriately notes patient accounts with all activity.