EHPB Refund Specialist

Full-time - Entry Level

Kirkland, WA

Hospitals

About the position

The position involves investigating credit balances, determining appropriate actions, and providing resolutions. The role includes processing all Healthplan requests for refunds and refunds due based on audits. The job requires handling patient inquiries regarding refunds and processing refunds due from coding audits, as well as managing mail returns on refund checks and processing unclaimed property credits. Other duties may be assigned as necessary.

Responsibilities

• Investigates self pay and insurance credit balance encounters and takes appropriate action for resolution.
• Investigates insurance overpayment/offset correspondence and takes appropriate action for resolution.
• Handles patient phone inquiries regarding refunds.
• Processes refunds due from coding audits.
• Mails refund checks attaching appropriate back-up documentation.
• Processes mail returns on refund checks.
• Processes Unclaimed Property credits.
• Performs other duties as assigned.

Requirements

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

Nice-to-haves

• College degree/Vocational training in billing or business.

Benefits

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