Refund Specialist - Cash Posting (Remote: OR, WA, AK) - PeaceHealth

**Description** PeaceHealth is seeking a Refund Specialist - Cash Posting for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $18.76 - $28.14. 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. **Must live in Oregon, Washington or Alaska!** **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. **Details of the position** + 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. **What you bring** + High School Diploma Required: or equivalent. + Minimum of 2 years Required: Experience in a medical billing, cash posting or insurance account follow-up capacity. + Required: Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered. + Required: Experience with payer EOBs/835s and bank Lockbox processes. + Required: Medical terminology experience. **Credentials** + Preferred : HealthStream Badge + Preferred : Medical Billing Certificate + 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: 102078