Medical Billing Refund Analyst

2 weeks ago

Vancouver, Washington, United States PeaceHealth Full time


Position Overview:

PeaceHealth is in search of a Refund Specialist - Cash Posting for a Full Time, 1.00 FTE, Day position. The compensation for this role is competitive, with the salary range set at $28.14. The hiring rate will be influenced by various factors, including education, training, work experience, and applicable collective bargaining agreements.

Key Responsibilities:
  • Conduct thorough reviews of credit balance accounts across commercial, government, and regulatory payors to ensure accurate resolutions.
  • Process refund requests as necessary, ensuring compliance with established protocols.
  • Research and manage accounts for Provider Level Adjustments (PLB), applying necessary adjustments.
  • Identify trends related to claim payments, patient payments, and posting errors, escalating issues to supervisors when required.
  • Request rebills, adjustments, and corrections to effectively resolve credit balances.
  • Respond promptly to inquiries from patients and insurance representatives.
  • Manage work lists and other assigned reports efficiently.
  • Ensure adherence to billing compliance with state and federal regulations.
  • Perform additional duties as assigned.

Qualifications:

Education:
  • High School Diploma or equivalent is required.
Experience:
  • A minimum of 2 years of experience in medical billing, cash posting, or insurance account follow-up is required.
  • Formal training or coursework from an accredited medical coding school in medical billing may be considered in lieu of experience.
  • Experience with payer EOBs/835s and bank Lockbox processes is essential.
  • Familiarity with medical terminology is required.
Preferred Credentials:
  • HealthStream Badge.
  • Medical Billing Certificate.
  • Certified Revenue Cycle Representative.
Skills:
  • Proficient in 10-key data entry.
  • Strong computer skills, including proficiency in MS Office applications.
  • Comprehensive knowledge of insurance and reimbursement policies.
  • Excellent problem-solving and negotiation skills.
  • Ability to work under pressure and meet deadlines.
  • Strong written and verbal communication skills.
  • Attention to detail, particularly in processing and reconciling Provider Level Adjustments (PLB).
  • Knowledge of banking and Lockbox processes.
  • Ability to work independently and collaboratively in a team environment.
  • EPIC experience is preferred.

Working Conditions:
  • Primarily operates in an office environment.
  • May require lifting up to 10 pounds occasionally.
  • Involves sedentary work with close visual acuity for data analysis and computer use.

PeaceHealth is dedicated to the overall wellbeing of our caregivers, offering a comprehensive total rewards package that includes full medical, dental, and vision coverage, a 403b retirement plan with employer contributions, paid time off, and additional benefits.

PeaceHealth is an equal opportunity employer committed to inclusivity and respect for diversity. All candidates are encouraged to apply.

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