Refund Specialist

US Acute Care Solutions; Canton (OH); Remote; USD 20,016 - 37,029; Full time

Benefits offered by this job

Best in class benefit programs

Competitive compensation package

Job summary

A healthcare service provider is seeking a Refund Specialist to manage patient account refunds. This remote position focuses on accuracy in processing payments and requires communication with insurance companies. Candidates should have at least one year of experience in medical insurance or payment processing. The role offers competitive pay ranging from $14.53 to $26.88 per hour, based on experience and skills.

Qualifications

• Minimum one year experience in medical insurance or payment processing.
• Thorough knowledge of payment processing functions.
• Ability to maintain confidentiality.

Responsibilities

• Research patient accounts for refund requests.
• Communicate with insurance carriers for additional information.
• Enter refunds into the billing system.

Skills

Attention to detail

Communication skills

Problem-solving

Basic mathematical calculations

Education

High school diploma or equivalent

Tools

Personal computers

Spreadsheet applications

Job description

Job Posting Closing Date: Open 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 professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success.

USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class.

Job Description

The Refund Specialist researches patient accounts on all requested refunds to determine if applied payment should be refunded. The Refund Specialist reviews the explanation of benefits and contacts insurance carriers for additional information.

Location: Canton, OH
This position is remote, but may require occasional onsite meeting attendance in the Corporate Offices, located in Canton, OH.

Essential Job Functions

• Determine if applied payments should be refunded by researching patient accounts on all requested refunds or credit balances.
• Confirm how payment was applied to patient’s account by reviewing explanation of benefits.
• Communicate with insurance carriers via phone to gather additional information needed to process requested refund.
• Perform all necessary adjustments within guarantor account and/or enter adjustments for refund when applicable.
• Enter all necessary notations in the system to allow for proper communication and tracking.
• Enter refunds into the billing system.
• Maintain corresponding back up documentation on all adjusted and refunded accounts.
• Perform and assist with other department duties as needed.

Knowledge, Skills and Abilities

• Thorough knowledge of the payment processing functions and all related issues.
• Knowledge of and skill in using personal computers in a Windows environment. Emphasis on basic spreadsheet applications and data entry.
• Knowledge of medical insurance/government payors and related terminology.
• Ability to pay close attention to detail.
• Ability to identify, research and solve problems and discrepancies.
• Ability to communicate with coworkers, management, and third‑party payors in a courteous and professional manner.
• Ability to maintain confidentiality.
• Ability to process assigned duties in an organized manner.
• Ability to perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
• Ability to effectively perform in a multi‑task environment.
• Ability to work overtime when needed.

Education and Experience

• High school diploma or equivalent.
• At least one year of combined experience in medical insurance, payment processing or insurance follow-up.

Physical Demands

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Required to have close visual acuity to perform the job.

Hourly Rate: $14.53 - $26.88
Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description.

US Acute Care Solutions current and potential employees enjoy best in class benefit programs with a wide array of options. To learn more, please visit the following link: http://www.usacs.com/benefits-guide

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