What are the responsibilities and job description for the Refund Specialist - Cash Posting position at PeaceHealth?
Description
Job 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
Education
Working Conditions
Lifting
See how PeaceHealth is committed to
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.
Job 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.
Education
- High School Diploma Required: or equivalent
- 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
- Preferred: HealthStream Badge and
- Preferred: Medical Billing Certificate and
- Preferred: Certified Revenue Cycle Representative
- 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.
- Predominantly operates in an office environment.
- 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.
See how PeaceHealth is committed to
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.
Salary : $20 - $29