**Description**
**PeaceHealth is seeking a Refund Specialist - Cash Posting for a Part Time, 0.50 FTE, Day position** . The salary range for this job opening at PeaceHealth is $19.62 - $29.44. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.
**Job Summary**
Responsible for resolving requests for refunds and credit balances by conducting research, follow-up and billing activities, while remaining compliant with applicable laws, CMS regulations, and policy. This position acts as a resource to resolve questions related to patient accounts. As appropriate inputs adjustments and complies with cash related procedures and financial control.
**Essential Functions**
+ Reviews credit balance accounts for commercial, Government and regulatory payors for proper resolution.
+ Processes refund requests as appropriate.
+ Researches and processes accounts for Provider Level Adjustments (PLB), apply adjustments as needed.
+ Identifies payor trends associated with claim payments, patient payments and posting errors, and escalates as needed to supervisor.
+ Requests rebills, adjustments, corrections as needed to resolve credit balances.
+ Responds punctually to patient and insurance requests and inquiries.
+ Resolves work lists and other reports as assigned.
+ Ensures billing compliance with state and federal laws and regulations.
+ Performs other duties as assigned.
**Qualifications**
**Education**
+ High School Diploma Required: or equivalent
**Experience**
+ Minimum of 2 years Required: Experience in a medical billing, cash posting or insurance account follow-up capacity and
+ Required: Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered and
+ Required: Experience with payer EOBs/835s and bank Lockbox processes and
+ Required: Medical terminology experience
**Credentials**
+ Preferred: HealthStream Badge and
+ Preferred: Medical Billing Certificate and
+ Preferred: Certified Revenue Cycle Representative
**Skills**
+ Proficiency in use of 10-key (Required)
+ Proficient use of computers including MS Office applications (Required)
+ Knowledge of insurance and reimbursement policies (Required)
+ Strong data entry skills (Required)
+ Knowledge of basic accounting skills (Required)
+ Excellent telephone communication skills and customer service skills (Required)
+ Excellent problem-solving skills and negotiating skills (Required)
+ Ability to work under pressure and meet deadlines (Required)
+ Excellent written and verbal communication skills (Required)
+ Excellent attention to detail and ability to process and reconcile Provider Level Adjustments (PLB) (Required)
+ Knowledge of banking and Lockbox processes (Required)
+ Ability to work remotely with minimal oversight, independently, as well as in a collaborative team setting (Required)
+ EPIC experience (Preferred)
**Working Conditions**
Lifting
+ Consistently operates computer and other office equipment.
+ Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
+ Sedentary work.
Environmental Conditions
+ Predominantly operates in an office environment.
Mental/Visual
+ Ability to communicate and exchange accurate information.
+ The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.
PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.
See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) .
For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.
REQNUMBER: 130526