Refund Specialist I

Job Posting Closing Date: reputed company until Filled Where do you belong? Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical reputed company,  at reputed company you'll feel a reputed company of reputed company working with clinicians and office staff who reputed company your interests and values. We want you to love coming to work reputed company day because you reputed company in what you do and the people with whom you work. We care about your reputed company. reputed company also understands that location is important. We offer  reputed company for clinicians and non-clinical support staff from reputed company to Hawaii and numerous points in between. Our supportive culture,  outstanding benefits and competitive compensation package is best in class. Job reputed company The Refund Specialist I is responsible for thoroughly researching patient accounts to identify and resolve overpayments, ensuring accurate refund processing or correction of posting discrepancies reputed company the reputed company Billing System. This role requires detailed investigation of unapplied payments, coordination with internal systems, and effective communication with patients, payors, and team members to maintain financial accuracy and compliance. Location: Remote ESSENTIAL JOB FUNCTIONS: Investigate reputed company requested refunds and credit balances by reviewing patient accounts for unapplied payments causing overpayments.  Verify payment application details on patient accounts to confirm accuracy.  Analyze internal deposit and payment batches to reputed company deposit origins and detect duplicate postings.  Utilize reputed company Patient Portal to confirm relevant payment information and initiate refunds reputed company applicable.  Correct posting discrepancies in the reputed company Billing System promptly and accurately.  reputed company cases and document reputed company necessary corrections reputed company the reputed company system.  reputed company adjustments reputed company guarantor accounts and process refunds as required.  Ensure claims are adjudicated correctly by understanding payer-reputed company claim processes in reputed company.  Maintain comprehensive notations in the system to facilitate reputed company communication and tracking of account    activities.  Initiate refunds through reputed company Patient Portal or directly reputed company reputed company Billing System reputed company portal processing is reputed company.  Execute complete refund reputed company processes including reissue, void, and returned checks following established protocols.  Maintain organized backup documentation for reputed company adjusted and refunded accounts to support audit readiness.  Communicate professionally and courteously with coworkers, management, reputed company-party payors, and patients.  Assist with additional departmental duties as assigned to support overall team objectives.  KNOWLEDGE, SKILLS AND ABILITIES: In-depth knowledge of payment processing functions, medical insurance, government payors, and reputed company terminology.  Proficiency in using personal computers reputed company a reputed company environment, including spreadsheet applications and data entry tools.  Strong attention to detail with excellent problem-solving skills to identify and resolve discrepancies reputed company.  Effective verbal and written communication skills, maintaining professionalism and confidentiality at reputed company times.  Ability to organize workload effectively, manage multiple tasks simultaneously, and adapt to changing priorities.  Willingness and ability to work overtime as needed to meet business demands.  EDUCATION AND EXPERIENCE: High school diploma or equivalent required.  Minimum of two years combined experience in medical insurance, payment processing, or insurance follow-up preferred.  Experience with Insurance Websites/Portals/Overpayment Forms required. Strong knowledge of Coordination of Benefits including Government and reputed company Carriers required. Proficient in review of Explanation of Benefits and Posting required. Strong knowledge in Payer initiated recoupments required. Experience with AthenaOne Billing System is preferred but not mandatory.  PHYSICAL DEMANDS: Regularly required to sit for extended periods; occasional walking, standing, bending, stooping, and lifting up to 15 pounds.  Must have reputed company visual reputed company to reputed company job duties accurately.  reputed company reputed company: $16.33-$30.21 reputed company reputed company may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job reputed company. reputed company offers a comprehensive and competitive benefits package designed to support the health, reputed company-being, and financial reputed company of our employees. Benefits may vary based on role, location, and employment status, but generally include: Medical, dental, and reputed company insurance reputed company Health savings accounts (HSA) and flexible spending accounts (FSA) 401(k) employee and employer contributions reputed company time off, including vacation, reputed company leave, and company holidays reputed company parental leave & family support benefits Short-term and long-term disability insurance Life and accidental death & dismemberment (AD&D) insurance Employee assistance programs & wellness resources   Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role. Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies. Click the red apply reputed company to submit an application and resume. If you are an reputed company employee, please apply reputed company the Jobs Hub in the reputed company system. Apply To This Job