EHPB Refund Specialist-Medical Billing

EvergreenHealth • Kirkland, WA

16d • $21 - $33

About The Position

Investigates credit balances, determining appropriate action and providing resolution. Processes all Healthplan requests for refunds and refunds due based on audits.

Requirements

• High School graduate or equivalent.
• 1 year previous experience in professional billing.
• Knowledge and experience in working with health care 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

Nice To Haves

• College degree/Vocational training in billing or business

Responsibilities

• Investigates self pay and insurance credit balance encounters and takes appropriate action for resolution.
• Investigates insurance overpayment /offset correspondence and takes appropriate action for resolution.
• Handles patient phone inquiries regarding refunds.
• Process refunds due from coding audits.
• Mails refund checks attaching appropriate back-up documentation.
• Process mail returns on refund checks.
• Process Unclaimed Property credits.
• Performs other duties as assigned.

Benefits

• Medical, vision and dental insurance
• On-demand virtual health care
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees