EHPB Refund Specialist

Job Summary:

EvergreenHealth seeks a skilled professional to investigate credit balances, determine appropriate action, and provide resolution. This role involves processing 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 back-up 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:

• Medical, vision, and dental insurance.
• On-demand virtual healthcare.
• 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.