Refund 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

Everything we do is underscored by a why — and that why is one another.

Location:

Altru Health SystemPO Box 6002Grand Forks, ND 58201

Pay Range: $17.07 - $25.60

Summary:

The Refund Specialist supports clinic and hospital Business Office staff by processing refunds and distributing insurance payments or adjustments. The Specialist manages accounts through the entire revenue cycle, ensuring accurate payments and securing required medical documentation. The specialist tracks overpayment claims, resolves credit balances, and manages payment work queues.

Essential Job Functions:

• 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 Explanation of Benefits (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.

Education:

• Preferred: Associates - Business

Work Experience:

• Required: A minimum of 1 year Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

• Sit: Frequently (34-66%)
• Stand: Occasionally (5-33%)
• Walk: Occasionally (5-33%)
• Stoop/Bend: Occasionally (5-33%)
• Reach: Frequently (34-66%)
• Crawl: Not Applicable
• Squat/Crouch/Kneel: Occasionally (5-33%)
• Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
• See: Continuously (67-100%)
• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Sedentary (<10 pounds)
• Carry: Sedentary (<10 pounds)
• Push/Pull: Sedentary (<10 pounds)
• Slide/Transfer: Not Applicable

Working Conditions:

• Indoor: Continuously (67-100%)
• Outdoor: Not Applicable
• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers : Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent Driver

Reference ID: R8271

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)