RCM Refund Specialist

Allergy-Partners; Asheville (NC); On-site; USD 42,000 - 52,000; Full time

Job summary

Allergy Partners is seeking a refunds specialist to process patient and insurance refunds, review credits, verify payments, and issue refund checks with detailed reports for management approval. The role requires 1–3 years in healthcare billing, strong communication, and precise data entry within a HIPAA-compliant environment.

Responsibilities include preparing remittance reports, running accounting-friendly financial reports, and maintaining thorough documentation.

Qualifications

• One to three years of healthcare billing experience.
• Good communication skills, both written and oral.
• Proficient computer skills including word processing and data entry.

Responsibilities

• Review credits and research patient accounts for both Patient and Insurance.
• Determine if there is a true credit by verifying payment method and remits.
• Adjust small balances and issue patient refunds by writing refund checks.
• Prepare refund checks with detailed reports for management to review and obtain signature.
• Run financial reports for accounting to review and file copies as backup.
• Process returned refunds with accounting and contact patients to resend refunds.
• Maintain patient confidentiality and HIPAA compliance; attend required trainings.
• Attend meetings and perform any additional duties as requested by management.

Skills

Communication skills

Detail oriented

Data entry

Word processing

Education

High school diploma or GED

Tools

Word processing

Data entry

Job description

Processing of patient and insurance refunds.Responsibilities include, but are not limited to, the following:Review credits and research patient accounts for both Patient and Insurance. Determine if there is a true credit for patient or Insurance by verifying payment method and pulling remits.Adjust small balances and convey monies.Issue patient credits by writing Refund checks. Prepare the refund checks with detailed reports for Management to review and obtain signature.Run financial reports for accounting to review.Prepare and mail checks.File corresponding copies as backup.Process Returned refunds with accounting department. Attempt contact with patient to re-send refund.OtherMaintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice.Maintains detailed knowledge of practice management and other computer software as it relates to job functions.Attends OSHA, HIPAA, and OIG training programs as required.Attends all meetings as requested including regular staff meetings.Performs any additional duties as requested by the Director of Central Billing Services and/or Manager or Team Leader/ Supervisor.Completes all assigned AP training (such as CPR, OSHA, HIPAA, Compliance, Information Security, others) within designated timeframes.Complies with Allergy Partners and respective hub/department policies and reports incidents of policy violations to a Supervisor/Manager/Director, Department of Compliance & Privacy or via the AP EthicsPoint hotline.Supervisory ResponsibilitiesThis job has no supervisory responsibilities.Typical Physical DemandsPhysical demands are moderate with occasional lifting of items weighing approximately 20-30 pounds. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and vision must be correctable to normal range to record, prepare, and communicate appropriate reports.Typical Working ConditionsNormal office environment. Occasional evening or weekend work.EDUCATIONAL REQUIREMENTS:High school diploma or GED equivalent. Healthcare or related experience required.QUALIFICATIONS AND EXPERIENCE:One to three years of experience, preferably in a healthcare billing settingGood communication skills, both written and oralProficient computer skills including word processing, and data entryMust have ability to communicate professionally and effectively with management and co-workersDetail oriented with the ability to detect errors and discrepanciesAbility to work independently and stay focused on task at hand