Healthcare Refund Specialist

2 weeks ago


Kirkland, Washington, United States EvergreenHealth Full time
Job Summary

We are seeking a skilled Healthcare Refund Specialist to join our team at EvergreenHealth. As a key member of our EHPB department, you will play a critical role in investigating credit balances, determining appropriate action, and providing resolution to our patients.

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.
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.
  • A good understanding of CPT, Modifiers, HCPC, ICD-9 codes, and medical terminologies.
  • Demonstrated problem-solving ability.
  • Ten-key by touch.
Preferred Qualifications
  • College degree/Vocational training in billing or business.
Benefits

We offer 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.



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