Refund and Adjustment Specialist

4 weeks ago


Green Bay, Wisconsin, United States BayCare Clinic Full time
Job Summary

BayCare Clinic is seeking a highly skilled Refund and Adjustment Specialist to join our team in Green Bay, WI. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely reimbursement for our patients.

Key Responsibilities
  • Research and process refund requests from insurance companies, including recoupment of payment.
  • Review and approve adjustments received from Patient Accounts and clinic practice sites.
  • Work closely with Accounts Payable to reconcile refunds and ensure accurate and timely preparation.
  • Perform detailed audits and identify payment trends or missed revenue opportunities.
  • Responsible for accurate and timely preparation, review, submission, and follow-up of claims.
Requirements
  • At least 2-3 years' experience in patient account billing, prior account collection knowledge, and expertise of medical terminology, CPT, ICD-9, HCPCS, RVU, coding, and commercial billing.
  • EPIC knowledge preferred but not necessary.
  • Knowledge of insurance principles and insurance contracts.
  • Collection and negotiation skills.
  • General accounting principles and the ability to calculate figures such as discounts and percentages.
What We Offer

BayCare Clinic offers a comprehensive benefits package, including health, dental, disability, and life insurance, as well as flexible spending options. We also offer a 401k retirement plan with a company match, generous PTO, and paid holidays.

We believe in the power of a positive, collaborative culture and strive to provide a supportive and energizing work environment. Every member of our team has a voice and is trusted to have ownership over their work.



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