Refund Specialist - Cash Posting

PeaceHealth • Vancouver, WA

1d

About The Position

PeaceHealth is seeking a Refund Specialist - Cash Posting as a non-employee, non-clinical contractor. This is a 1.00 FTE day position. The role resolves refund requests and credit balances through research, follow-up, and billing activities while complying with applicable laws, CMS regulations, and organizational policy. The specialist serves as a resource for questions related to patient accounts and, as appropriate, enters adjustments and follows cash-related procedures and financial controls.

The position reviews credit balance accounts for commercial, government, and regulatory payors, processes appropriate refund requests, and researches and processes Provider Level Adjustments (PLBs). It identifies payor trends involving claim payments, patient payments, and posting errors, escalating issues as needed. The specialist also requests rebills, adjustments, or corrections to resolve credit balances; responds promptly to patient and insurance inquiries; resolves assigned work lists and reports; and ensures billing compliance with state and federal requirements.

Requirements

• High school diploma or equivalent.
• At least 2 years of experience in medical billing, cash posting, or insurance account follow-up; formal training or college coursework from an accredited medical coding school specific to medical billing may be considered in lieu of experience.
• Experience with payer EOBs/835s and bank Lockbox processes.
• Proficiency using a 10-key.
• Proficiency with computers, including MS Office applications.
• Knowledge of insurance and reimbursement policies.
• Strong data entry skills.
• Knowledge of basic accounting skills.
• Excellent telephone communication and customer service skills.
• Excellent problem-solving and negotiating skills.
• Ability to work under pressure and meet deadlines.
• Excellent written and verbal communication skills.
• Strong attention to detail and ability to process and reconcile Provider Level Adjustments (PLBs).
• Knowledge of banking and Lockbox processes.
• Ability to work remotely with minimal oversight, independently, and collaboratively as part of a team.

Nice To Haves

• EPIC experience.
• HealthStream Badge.
• Medical Billing Certificate.
• Certified Revenue Cycle Representative.

Responsibilities

• Review credit balance accounts for commercial, government, and regulatory payors and determine appropriate resolution.
• Process refund requests as appropriate.
• Research and process Provider Level Adjustments (PLBs), applying adjustments as needed.
• Identify payor trends associated with claim payments, patient payments, and posting errors, and escalate them as needed.
• Request rebills, adjustments, and corrections to resolve credit balances.
• Respond punctually to patient and insurance requests and inquiries.
• Resolve assigned work lists and reports.
• Ensure billing compliance with state and federal laws and regulations.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED