EHPB Refund Specialist
Description
Wage Range: $20.57 - $32.92 per hour
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Job Summary:
Investigates credit balances, determining appropriate action and providing resolution. Processes all Healthplan requests for refunds and refunds due based on audits.
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.
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.
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
● 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
● College degree/Vocational training in billing or business
Benefit Information:
Choices that care for you and your family
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.
• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.