Refund Specialist

Must reside and work in WA, OR, or AK and live within a one-hour drive of a PeaceHealth hospital.

Pay Range: $19.62 - $29.44 per hour. The hiring rate is determined by several factors, including experience, education, training, seniority, and applicable collective bargaining agreements.

About The Role

As a Refund Specialist, you'll help ensure patient and payer accounts are accurate, compliant, and resolved correctly. You'll research credit balances, process refunds, identify payment issues, and serve as a knowledgeable resource for questions related to patient accounts. This is an excellent opportunity for someone who enjoys investigating payment discrepancies, solving problems, and helping create a better financial experience for patients.

Responsibilities

• Review patient and insurance credit balances to determine the correct resolution.
• Research account activity and payment history.
• Process refunds accurately and timely.
• Resolve overpayments and account discrepancies.
• Analyze Provider Level Adjustments (PLBs) and apply corrections when appropriate.
• Identify payment trends, posting errors, and recurring issues.
• Escalate concerns that may affect multiple accounts or processes.
• Request billing corrections, rebills, or adjustments when needed.
• Respond to questions from patients, insurance companies, and internal teams.
• Maintain accurate account documentation.
• Complete assigned work queues and reports.
• Follow state, federal, and payer requirements.
• Support accurate financial controls and cash handling procedures.

Requirements

• High school diploma or equivalent.
• Two years of experience in medical billing, cash posting, insurance follow-up, or a related revenue cycle role.
• OR Formal training or college coursework from an accredited medical coding or medical billing program may be considered in lieu of experience.

Qualifications

• Experience working with insurance EOBs and electronic remittance advice (835s).
• Knowledge of bank lockbox processes.
• Understanding of medical terminology.
• Strong attention to detail and account reconciliation skills.
• Ability to work independently in a remote environment.
• Excellent customer service and communication skills.
• Strong problem-solving skills.
• Proficiency with computers, Microsoft Office applications, and 10-key data entry.
• Knowledge of insurance reimbursement and billing practices.
• Basic accounting knowledge.

Preferred Qualifications

• EPIC experience.
• Medical Billing Certificate.
• Certified Revenue Cycle Representative (CRCR).
• HealthStream Badge.

Our Culture

At PeaceHealth, we believe that exceptional patient care begins with exceptional caregiver experiences. You'll join a team that values:

• Respect and inclusion, where every caregiver is welcomed and encouraged to bring their authentic self to work.
• Collaboration over competition, with teammates who support one another's success.
• Meaningful work, connected to a mission of improving the health and wellbeing of our communities.
• Growth and learning, through ongoing development and education opportunities.
• Compassion in action, both for the patients we serve and the people we work alongside every day.

We are committed to creating a workplace that reflects the diverse communities we serve through inclusivity, respect for diversity, and cultural humility.

Benefits

PeaceHealth offers a comprehensive total rewards package designed to support your physical, emotional, financial, social, and spiritual wellbeing. Benefits may include:

• Medical, dental, and vision coverage
• 403(b) retirement plan with employer contributions and matching opportunities
• Paid time off
• Employer-paid life and disability insurance
• Additional voluntary insurance options
• Tuition reimbursement and continuing education support
• Wellness programs and resources
• Expanded Employee Assistance Program (EAP)
• Mental health and wellbeing support

Benefits may vary based on FTE status and eligibility requirements.

Schedule

• Part-Time
• 0.50 FTE
• Day Shift
• Remote in Washington, Oregon, or Alaska