Refund Specialist for Central Admin in NE Portland

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. As a member of our team, you have the opportunity to make a valuable impact within the local community and our ecosystem of care. By providing patients and internal and external stakeholders with a consistent, efficient, and easy experience, you’ll help ensure that patients at The Oregon Clinic receive the highest value care tailored to their needs.

Using excellent customer service and communications skills, your primary duties in this role include:

• 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.
• Researches and 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.
• Resolves and returns incorrect payment to payor.
• Resolves unclaimed property aged over six months and clears accounts monthly.
• Contacts insurance carriers/guarantors as necessary on credit balance discrepancies, offsets, mail correspondence, and unidentified payments.
• Other duties as assigned.

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.

Workdays: This role is based at the Central Administration Office. 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).

Qualifications that support success in this role are based on education, experience, and values including:

• Minimum of three (3\) years of experience in medical accounts receivable or payment posting. Prior experience working in Medicare and Medicaid claims is a plus!
• 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.

This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.

Make an impact in patient\-focused healthcare. Look forward to coming to work and feel good about the work you do \- apply today!

Premium 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

Patients and peers recognize The Oregon Clinic as a top regional healthcare provider and employer. We are:

• Guided by our values of dedicating to excellence, compassionate and joyful connection, inclusive collaboration, listening humbly, and leading with integrity.
• The largest physician\-owned, multi\-specialty medical and surgical practice in Oregon with a team of 1,500 team members across 30 specialties and our business office.
• Dedicated to providing the highest value care tailored to the needs of each unique patient.

Proud to be consistently ranked by our employees as a Top 10 Workplace by The Oregonian*.

Our Commitments:

Diversity, Equity, \& Inclusion:*We are more than an Equal Opportunity Employer. We welcome and embrace differences and a diversity of backgrounds. Our goal is for patients, physicians, and team members to see and feel diversity, equity, safety, and inclusion in all aspects of their interactions with TOC clinics and administration.

A safe workplace:

• We are an alcohol and drug\-free workplace for the safety of our patients and employees. Offers are contingent on successful completion of drug and background screenings.