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Burrell Behavioral Health · 1 day ago

Recoupment Representative, Client Financial Services

Springfield, MO

Full-time

Onsite

Entry Level

2+ years exp

Burrell Behavioral Health is a healthcare organization focused on financial operations, seeking a Recoupment Representative for their Client Financial Services department. The role involves reviewing and processing insurance overpayment requests and collaborating with team members to recover funds while ensuring financial excellence.

Health CareMedicalMental HealthNon ProfitPersonal Health

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

Qualification

Billing experienceCollections experiencePayment processingData analysisMicrosoft ExcelMedical terminologyCommunication skillsProblem-solvingTime managementDetail-orientedTeam collaboration

Required

High school diploma or General Educational Diploma (GED) is required

At least two years of experience in a healthcare setting, with a focus on billing, collections, payment processing, or denial management

Strong data analysis skills, especially with system reports

Proactive problem-solving and ability to implement solutions independently

Proficient in reading and following policies and procedures

Effective time management and multitasking under deadlines

Excellent verbal and written communication skills

Comfortable and proficient with computer systems, including Microsoft Word and Excel

Ability to securely handle confidential information

Experience documenting processes

Detail-oriented with strong prioritization skills

Accurate data entry and 10-key proficiency

Ability to work independently and collaboratively in a positive manner

Preferred

Preferably certified in Billing and/or Coding

Experience with Missouri Certified Community Behavioral Health Organization (CCBHO) and managed care organization (MCO) billing is advantageous

Familiarity with insurance portals and medical terminology preferred

Benefits

Employee benefits package - health, dental, vision, retirement, life, & more

Paid time off - 29 days per year including vacation & holiday pay

Mileage reimbursement - company paid for work functions requiring travel

Top-notch training - initial, ongoing, comprehensive, and supportive

Career mobility - advancement opportunities/promoting from within

Welcoming, warm, supportive - a work culture & environment that promotes your well-being, values you as human being, and encourages your health and happiness