Healthcare Refund Specialist
4 weeks ago
EvergreenHealth seeks a skilled professional to investigate credit balances, determine appropriate action, and provide resolution. This role involves processing all Healthplan requests for refunds and refunds due based on audits.
Key Responsibilities:
- Investigate self-pay and insurance credit balance encounters and take appropriate action for resolution.
- Investigate insurance overpayment/offset correspondence and take appropriate action for resolution.
- Handle patient phone inquiries regarding refunds.
- Process refunds due from coding audits.
- Mailing refund checks with appropriate backup documentation.
- Process mail returns on refund checks.
- Process Unclaimed Property credits.
- Perform other duties as assigned.
Requirements:
- High School graduate or equivalent.
- 1 year previous experience in professional billing.
- Knowledge and experience in working with healthcare insurers' and their reimbursement systems, especially Medicare, Medicaid, Workers Compensation, Motor Vehicle, and contract payers.
Preferred Qualifications:
- College degree/Vocational training in billing or business.
Benefits:
EvergreenHealth offers a comprehensive benefits package, including medical, vision, and dental insurance, on-demand virtual healthcare, health savings account, flexible spending account, life and disability insurance, retirement plans, tuition assistance, and more.
At EvergreenHealth, we value our employees' commitment and contribution to our success. We strive to provide a supportive and inclusive work environment that fosters growth and development.
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