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Refund Specialist - Hospital Cash

Benefits Eligibility (Employment Type):  Full-time benefits (32-40 hours per week)
Shift Type:  Day
Shift Length:  8 Hours
Primary Location (City):  Vancouver
State:  WA

PeaceHealth is seeking a Refund Specialist - Hospital Cash for a 1.0 full time equivalent Non-Exempt position. This position will be working Day shift with shift durations of 8 Hours.

Req ID: 168775




Responsible for working patient accounts with credit balances by conducting research, follow-up and billing activities. This position would need to act as resource to all departments that may have questions related to their assigned accounts. This position also assists patients and insurance companies with questions generated from working accounts and/or correspondence.



  1. Review credit balance accounts for commercial, patient and regulatory payors for proper resolution.
  2. Process refund requests as appropriate.
  3. Identify payor trends associated with claim payments, patient payments and posting errors, and escalate as needed to supervisor.
  4. Request rebills, adjustments, corrections as needed to resolve credit balances.
  5. Respond punctually to patient and insurance requests and inquiries.
  6. Resolve work lists and other reports as assigned in a timely fashion.
  7. Ensure billing compliance with state and federal laws and regulations.
  8. Maintain confidentiality of all patient demographics, medical and financial information at all times.
  9. Perform other duties as assigned.





  • High school diploma or equivalent preferred.



  • Minimum of two years’ experience in a billing or insurance account follow-up capacity is required; Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered
  • Medical terminology experience required
  • Knowledge of insurance processes and billing guidelines regulations required



  • N/A       



  • Proficiency in use of 10-key required.
  • Proficient use of computers including MS Office applications
  • Knowledge of insurance and reimbursement policies
  • Strong data entry skills
  • Skills in problem solving, organizational and time management
  • Demonstrates knowledge of basic accounting skills.
  • Excellent telephone communication skills and customer service skills.
  • Demonstrates excellent problem-solving skills and negotiating skills.
  • Ability to work under pressure and meet deadlines.



  • Work requires fairly light physical exertion from up to 65% of the time.  
  • Ability to lift objects weighing 30 lbs. or less.      
  • Work is performed under normal working conditions with adequate lighting and ventilation.       
  • Job duties frequently require intense concentration and attention to detail (up to 65% of work time).


Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.


About PeaceHealth


PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission. 


We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Vancouver community please visit our homepage:


Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!


Questions? Review our Employment FAQ or email Please note this email does not accept resumes or applications.


Location: Vancouver, Shared Services Center (802)
Job Category:  Business, Administrative & Facilities 
Shift:  Day
Shift Length: 8 Hours
FTE: 1.0
Work Type:  Full Time
Hourly compensation starts at: $15.08, more depending on experience
Required Certifications/Licensure: 


PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.


The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.


Posting Notes: Vancouver || Business, Administrative & Facilities || Accounting & Finance || Full Time || PATIENT ACCOUNTING

Nearest Major Market: Portland Oregon
Nearest Secondary Market: Tacoma

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