Refund Specialist for Central Admin in NE Portland

Job Details

Make an Impact at The Oregon Clinic! Premium Benefits, Competitive Pay, and Inspiring Purpose

Join us at The Oregon Clinic as a full-time Refund Specialist (Hybrid/Remote). Work alongside a collaborative team of patient-focused colleagues in our thriving Central Administration office. Every person at TOC makes a difference in our mission of delivering world-class care with kindness and empathy.

Responsibilities

• Manages a variety of tasks, researching refund requests, overpayments, and credit balances, and ensuring money is correctly applied and overpayments are refunded to the appropriate party.
• Resolves credit balances on accounts receivable.
• Resolves credit balances in accordance with current policy and procedures.
• Reviews all adjustments and assembles necessary documentation to validate credit balance.
• Sets up and processes refunds.
• Contacts insurance carriers/guarantors as necessary on credit balance discrepancies, offsets, mail correspondence, and unidentified payments.

Qualifications

• Minimum of three (3) years of experience in medical accounts receivable or payment posting.
• Prior Electronic Medical Record (EMR) EPIC experience is strongly preferred.
• Knowledge of medical insurance billing, COB, HCFA 1500's, and State and Federal medical insurance processing rules.
• Demonstrated ability to initiate, work independently, and effectively multitask.
• Positive attitude and desire to be a team player.
• Ability to communicate professionally and effectively with patients, physicians, and other team members.
• A commitment to patient-focused care, privacy, and safety.

Salary

Hiring range, based on experience and credentials: Level I: $22.12 -$29.92 per hour.
Level II: $24.33-$32.92 per hour.
Level III: $26.76-$36.21 per hour.

Benefits

• Healthcare: Employee is 100% covered Medical, Dental, and Prescription Insurance.
• Financial Wellbeing: Generous 401(k) plan and Flexible Spending Account options.
• Work-Life Balance: Paid Time Off plus 9 paid holidays annually.
• Wellness Support: Robust wellness program and employee assistance services.
• Commuter Benefits: 70% of Tri-Met transit pass covered.
• Additional Perks: Employee discounts and optional benefits like Pet Insurance.

About the Role

Patient-focused healthcare. Look forward to coming to work and feel good about the work you do - apply today!

Skills

• Excellent customer service and communications skills.
• Knowledge of medical insurance billing, COB, HCFA 1500's, and State and Federal medical insurance processing rules.
• Ability to comprehend all forms of Explanation of Benefits (Work Comp, MVA, government & commercial).
• Demonstrated ability to initiate, work independently, and effectively multitask.
• Positive attitude and desire to be a team player.
• Ability to communicate professionally and effectively with patients, physicians, and other team members.
• A commitment to patient-focused care, privacy, and safety.

Benefits

• Healthcare: Employee is 100% covered Medical, Dental, and Prescription Insurance.
• Financial Wellbeing: Generous 401(k) plan and Flexible Spending Account options.
• Work-Life Balance: Paid Time Off plus 9 paid holidays annually.
• Wellness Support: Robust wellness program and employee assistance services.
• Commuter Benefits: 70% of Tri-Met transit pass covered.
• Additional Perks: Employee discounts and optional benefits like Pet Insurance.

Pay

Hiring range, based on experience and credentials: Level I: $22.12 -$29.92 per hour.
Level II: $24.33-$32.92 per hour.
Level III: $26.76-$36.21 per hour.

Schedule

This role is based at the Central Administration Office but allows for primarily remote work. Hybrid/Remote work is available once training is completed and expectations are met. Typical hours are Monday-Friday (8:00 am - 4:30 pm Pacific Standard Time).