Refund Specialist for Central Admin in NE Portland

The Oregon Clinic • Portland, OR

17h • $22 - $36 • Hybrid

About The Position

Join The Oregon Clinic as a full-time Refund Specialist (Hybrid/Remote) in our Central Administration office. Every person at TOC makes a difference in our mission of delivering world-class care with kindness and empathy. As a member of our team, you have the opportunity to make a valuable impact within the local community and our ecosystem of care. By providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you’ll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs.

Requirements

• Minimum of three (3) years of experience in medical accounts receivable or payment posting.
• Prior Electronic Medical Record (EMR) EPIC experience is strongly preferred.
• Knowledge of medical insurance billing, COB, HCFA 1500's, and State and Federal medical insurance processing rules.
• Demonstrated ability to initiate, work independently, and effectively multitask.
• Positive attitude and desire to be a team player.
• Ability to communicate professionally and effectively with patients, physicians, and other team members.
• A commitment to patient-focused care, privacy, and safety.

Nice To Haves

• Prior experience working in Medicare and Medicaid claims is a plus!

Responsibilities

• Manages a variety of tasks, researching refund requests, overpayments, and credit balances, and ensuring money is correctly applied and overpayments are refunded to the appropriate party.
• Researches and resolves credit balances on accounts receivable.
• Resolves credit balances in accordance with current policy and procedures.
• Reviews all adjustments and assembles necessary documentation to validate credit balance.
• Resolves and returns incorrect payment to payor.
• Resolves unclaimed property aged over six months and clears accounts monthly.
• Contacts insurance carriers/guarantors as necessary on credit balance discrepancies, offsets, mail correspondence, and unidentified payments.
• Other duties as assigned.

Benefits

• Employee is 100% covered Medical, Dental, and Prescription Insurance
• Generous 401(k) plan
• Flexible Spending Account options
• Paid Time Off
• 9 paid holidays annually
• Robust wellness program
• Employee assistance services
• 70% of Tri-Met transit pass covered
• Employee discounts
• Optional benefits like Pet Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed