Impactful Refund & Billing Specialist

Altru Health System; Grand Forks (ND); On-site; USD 24,000 - 35,000; Full time

Benefits offered by this job

Health plan

401(k)

Dental plan

Vision plan

Life insurance

Disability insurance

Education assistance

Paid time off

Job summary

Altru Health System in Grand Forks, ND, is seeking a Refund Specialist to support the clinic and hospital Business Office by processing refunds and distributing insurance payments or adjustments.

The Specialist manages accounts across the revenue cycle, handles overpayments, resolves credit balances, and ensures required medical documentation is obtained for timely payments. Proficiency in English is required.

Qualifications

• Requires minimum 1 year related experience.
• Preferred: Associates - Business.
• Proficiency in reading, writing, and speaking English.

Responsibilities

• Reviews and processes insurance overpayments and credit balances, initiating refunds and clearing account work queues.
• Assists Business Office staff in refunding or distributing insurance payments and reversing adjustments when appropriate.
• Approves insurance refund requests from the refund/credit work queue.
• Determines refund method (paper check or electronic) based on insurance requirements, retrieves EOBs, scans refund requests, and mails paper checks with EOBs.
• Assesses late charges and credits, cancels claims from the liability bucket, and adds Insurance Control Numbers from previous EOBs.
• Stays current on state and federal billing requirements and updates relevant departments to ensure compliance.
• Communicates with payers and staff to resolve refund-related issues and ensure timely claim payment processing.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Skills

Refund processing

Insurance billing

Account reconciliation

Education

Associates - Business

Job description

Altru Health System in Grand Forks, ND, is seeking a Refund Specialist to support the clinic and hospital Business Office by processing refunds and distributing insurance payments or adjustments.

The Specialist manages accounts across the revenue cycle, handles overpayments, resolves credit balances, and ensures required medical documentation is obtained for timely payments. Proficiency in English is required.