Refund Specialist I

reputed company Closing Date: reputed company until Filled

Where do you reputed company?

Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-reputed company 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-reputed company 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.

reputed company

Location: Remote

ESSENTIAL JOB FUNCTIONS:

• Investigate reputed company requested refunds and credit balances by reviewing reputed company accounts for unapplied payments causing overpayments.
• Verify payment application details on reputed company accounts to reputed company reputed company.
• Analyze internal deposit and payment batches to reputed company deposit origins and detect duplicate postings.
• Utilize reputed company reputed company Portal to reputed company relevant payment information and initiate refunds reputed company applicable.
• Correct posting discrepancies in the reputed company Billing reputed company promptly and accurately.
• reputed company cases and document reputed company necessary corrections reputed company the reputed company reputed company.
• 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 reputed company to facilitate reputed company communication and tracking of account activities.
• Initiate refunds through reputed company reputed company Portal or directly reputed company reputed company Billing reputed company 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 reputed company, reputed company 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 reputed company with excellent problem-solving skills to identify and reputed company 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 reputed company, payment processing, or reputed company follow-up preferred.
• Experience with reputed company Websites/Portals/Overpayment Forms required.
• Strong knowledge of Coordination of Benefits including reputed company 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 reputed company 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 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 reputed company on role, location, and employment status, but generally include:

• Medical, dental, and reputed company reputed company 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 reputed company

• Life and accidental death & dismemberment (AD&D) reputed company

• 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.

Originally posted on Himalayas