EHPB Refund Specialist-Medical Billing

Wage Range: $20.57 - $32.92 per hour

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary:
Investigates credit balances, determining appropriate action and providing resolution. Processes all Health plan requests for refunds and refunds due based on audits.

Primary Duties:
1. Investigates self pay and insurance credit balance encounters and takes appropriate action for resolution.
2. Investigates insurance over payment /offset correspondence and takes appropriate action for resolution.
3. Handles patient phone inquiries regarding refunds.
4. Process refunds due from coding audits.
5. Mails refund checks attaching appropriate back-up documentation.
6. Process mail returns on refund checks.
7. Process Unclaimed Property credits.
8. Performs other duties as assigned.

License, Certification, Education or

Experience:

REQUIRED for the position:
u25CF High School graduate or equivalent.
u25CF 1 year previous experience in professional billing.
u25CF Knowledge and experience in working with health care insurersu
2019 and their reimbursement systems , especially Medicare,
Medicaid, Workers Compensation, Motor Vehicle and contract payers.
u25CF A good understanding of CPT, Modifiers, HCPC, ICD-9 codes and medical terminologies.
u25CF Demonstrated problem solving ability.
u25CF Ten-key by touch

DESIRED for the position:
u25CF College degree/Vocational training in billing or business

Benefit Information:u00A0
Choices that care for you and your family

At Evergreen Health, we appreciate our employeesu
2019 commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

u2022 Medical, vision and dental insurance
u2022 On-demand virtual health care
u2022 Health Savings Account
u2022 Flexible Spending Account
u2022 Life and disability insurance
u2022 Retirement plans (457(b) and 401(a) with employer contribution)
u2022 Tuition assistance for undergraduate and graduate degrees
u2022 Federal Public Service Loan Forgiveness program
u2022 Paid Time Off/Vacation
u2022 Extended Illness Bank/Sick Leave
u2022 Paid holidays
u2022 Voluntary hospital indemnity insurance
u2022 Voluntary identity theft protection
u2022 Voluntary legal insurance
u2022 Pay in lieu of benefits premium program
u2022 Free parking
u2022 Commuter benefits

View a summary of our total rewards available to you as an Evergreen Health team member by clicking on the link below.u00A0 2024 Benefits Guide u00A0 #J-18808-Ljbffr