EHPB Refund Specialist

Admin/Clerical Kirkland, Washington

Department: Professional Billing
Job Type: Full-Time Shift: Day
Hours/Week: 40
Req: 45747


1 year previous experience in professional billing.

Job Summary:
Investigates credit balances, determining appropriate action and providing resolution. Processes all Healthplan requests for refunds and refunds due based on audits.

Primary Duties:
1. Investigates self pay and insurance credit balance encounters and takes appropriate action for resolution.
2. Investigates insurance overpayment /offset correspondence and takes appropriate action for resolution.
3. Handles patient phone inquiries regarding refunds.
4. Process refunds due from coding audits.
5. Mails refund checks attaching appropriate back-up documentation.
6. Process mail returns on refund checks.
7. Process Unclaimed Property credits.
8. Performs other duties as assigned.

Minimum Qualifications
License, Certification, Education or Experience:
REQUIRED for the position:
● High School graduate or equivalent.
● 1 year previous experience in professional billing.
● Knowledge and experience in working with health care insurers’ and their reimbursement systems , especially Medicare,
Medicaid, Workers Compensation, Motor Vehicle and contract payers.
● A good understanding of CPT, Modifiers, HCPC, ICD-9 codes and medical terminologies.
● Demonstrated problem solving ability.
● Ten-key by touch

DESIRED for the position:
● College degree/Vocational training in billing or business