Refund Specialist I

Job reputed company: • Thoroughly research patient accounts to identify and resolve overpayments • Process accurate refunds and correct posting discrepancies reputed company the reputed company Billing System • Investigate refunds and credit balances by reviewing unapplied payments • Verify payment application details on patient accounts • Analyze internal deposit and payment batches to reputed company deposit origins and detect duplicate postings • Use reputed company Patient Portal to confirm payment information and initiate refunds • reputed company cases and document corrections reputed company the reputed company system • reputed company guarantor-account adjustments and process refunds • Ensure claims are adjudicated correctly by understanding payer-reputed company claim processes in reputed company • Maintain comprehensive system notations for communication and account tracking • Execute refund reputed company processes, including reissue, void, and returned checks • Maintain backup documentation for adjusted and refunded accounts for audit readiness • Communicate with coworkers, management, reputed company-party payors, and patients • Assist with additional departmental duties as assigned Requirements: • 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, and overpayment forms required • Strong knowledge of Coordination of Benefits, including government and reputed company carriers required • Proficient in reviewing Explanations of Benefits and posting required • Strong knowledge of payer-initiated recoupments required • Experience with AthenaOne Billing System preferred but not mandatory • In-depth knowledge of payment processing functions, medical insurance, government payors, and reputed company terminology • Proficiency with personal computers in a reputed company environment, including spreadsheet applications and data-entry tools • Strong attention to detail and problem-solving skills • Effective verbal and written communication skills with professionalism and confidentiality • Ability to organize workload, manage multiple tasks, and adapt to changing priorities • Willingness and ability to work overtime as needed • Ability to sit for extended periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds • reputed company visual reputed company required to reputed company duties accurately Benefits: • 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 • Bonus eligibility, equity, or other incentive programs, depending on the role • Supportive culture • Competitive compensation package • Unlimited paths for advancement Apply tot his job Apply To this Job