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EHPB Refund Specialist

Company: EvergreenHealth
Location: Kirkland
Posted on: November 24, 2022

Job Description:

1 year previous experience in professional billing.Job Summary:Investigates credit balances, determining appropriate action and providing resolution. Processes all Healthplan requests for refunds and refunds due based on audits.Primary Duties:1. Investigates self pay and insurance credit balance encounters and takes appropriate action for resolution.2. Investigates insurance overpayment /offset correspondence and takes appropriate action for resolution.3. Handles patient phone inquiries regarding refunds.4. Process refunds due from coding audits.5. Mails refund checks attaching appropriate back-up documentation.6. Process mail returns on refund checks.7. Process Unclaimed Property credits.8. Performs other duties as assigned.Minimum QualificationsLicense, Certification, Education or Experience:REQUIRED for the position: 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 touchDESIRED for the position: College degree/Vocational training in billing or businessPM21PI197537823

Keywords: EvergreenHealth, Kirkland , EHPB Refund Specialist, Other , Kirkland, Washington

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