PeaceHealth is seeking a Refund Specialist - Hospital Cash for a 1.0 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours .
Req ID: 168775
JOB SUMMARY
Responsible for working patient accounts with credit balances by conducting research, follow-up and billing activities. This position would need to act as resource to all departments that may have questions related to their assigned accounts. This position also assists patients and insurance companies with questions generated from working accounts and/or correspondence.
ESSENTIAL FUNCTIONS
Review credit balance accounts for commercial, patient and regulatory payors for proper resolution.
Process refund requests as appropriate.
Identify payor trends associated with claim payments, patient payments and posting errors, and escalate as needed to supervisor.
Request rebills, adjustments, corrections as needed to resolve credit balances.
Respond punctually to patient and insurance requests and inquiries.
Resolve work lists and other reports as assigned in a timely fashion.
Ensure billing compliance with state and federal laws and regulations.
Maintain confidentiality of all patient demographics, medical and financial information at all times.
Perform other duties as assigned.
QUALIFICATIONS
EDUCATION:
High school diploma or equivalent preferred.
EXPERIENCE/TRAINING:
Minimum of two years' experience in a billing or insurance account follow-up capacity is required; Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered
Medical terminology experience required
Knowledge of insurance processes and billing guidelines regulations required
LICENSE/CERTIFICATION:
N/A
OTHER SKILLS:
Proficiency in use of 10-key required.
Proficient use of computers including MS Office applications
Knowledge of insurance and reimbursement policies
Strong data entry skills
Skills in problem solving, organizational and time management
Demonstrates knowledge of basic accounting skills.
Excellent telephone communication skills and customer service skills.
Demonstrates excellent problem-solving skills and negotiating skills.
Ability to work under pressure and meet deadlines.
SYSTEM SERVICES – PHYSICAL/COGNITIVE REQUIREMENTS:
Work requires fairly light physical exertion from up to 65% of the time.
Ability to lift objects weighing 30 lbs. or less.
Work is performed under normal working conditions with adequate lighting and ventilation.
Job duties frequently require intense concentration and attention to detail (up to 65% of work time).
Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.
About PeaceHealth
PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.
We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Vancouver community please visit our homepage: www.peacehealth.org/careers .
Location: Vancouver , Shared Services Center (802) Job Category: Business, Administrative & Facilities Shift: Day Shift Length: 8 Hours FTE: 1.0 Work Type: Full Time Hourly compensation starts at: $ 15.08 , more depending on experience Required Certifications/Licensure:
PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.
The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.
Posting Notes: Vancouver || Business, Administrative & Facilities || Accounting & Finance || Full Time || PATIENT ACCOUNTING
PeaceHealth Physicians are as diverse as the communities they serve, but have the following in common:Dedication to carrying on the healing mission of Jesus Christ by promoting personal and community health, relieving pain and suffering and treating each person in a loving and caring way.A shared vision of every patient receiving exceptional, compassionate evidence-based care, every time, every touch.
