PeaceHealth is seeking a Refund Specialist - Cash Posting for a Part Time, .5 FTE, Day position. The general salary range for this job opening at PeaceHealth is \(18.30 – \)27.46. The actual hiring rate is dependent upon several factors, including but not limited to, the job/position responsibilities, location, terms of the applicable collective bargaining agreement, education, training, work experience, seniority, work performance, etc.

Must live in Oregon, Washington, Texas or Alaska.

This position will be performed fully remote. If telecommuting, PeaceHealth will provide the caregiver with necessary computer equipment. It is the responsibility of the caregiver to provide Internet access.

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.

POSITION DETAILS:

• 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.

WHAT YOU BRING:

• High school diploma or equivalent preferred.

• 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

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.

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).

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.

PeaceHealth requires a completed Primary Vaccine Series (e.g., 2 dose monovalent Pfizer, Moderna or Novavax series or 1 dose J&J vaccine series) or be Up to Date (receiving the most recent Pfizer/Moderna bivalent vaccine/booster) for COVID-19 vaccination prior to their start date. PeaceHealth has a medical and religious exemption request process for those that are unable to receive the COVID-19 primary vaccine series due to medical/religious reasons. For caregivers that will be working in Oregon there is a personal vaccine exemption form that may be requested.

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