Refund Specialist

Independence-Physician-Management; Tredyffrin Township (Chester County); Remote; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive compensation

Generous paid time off

Excellent medical, dental, vision

401K with company match

Career development opportunities

Pet insurance

Benefits website access

Job summary

Universal Health Services, Inc. through Independence Physician Management (IPM) seeks a Refund Specialist to ensure accurate self-pay and insurance credit resolution. This remote position includes a 3 month training period at the King of Prussia, PA headquarters.

IPM develops physician networks and urgent care clinics aligned with UHS facilities. The specialist will research credits, validate refunds with EOBs, work with Accounts Payable, and apply CPT-4/ICD-10 knowledge to posting and

Qualifications

• Experience in healthcare billing and coding processes.
• Familiar with CPT/ICD-10 coding principles and reimbursement.
• Knowledge of payment posting, remittance processing and ERA handling.
• Strong organizational, research and problem-solving abilities.
• Customer-focused, detail-oriented, and able to work in a high-performing team.

Responsibilities

• Research credit balances to determine refunds and outline refund reasons with EOBs if needed.
• Handle payer refund requests, validate refunds post account review and submit to AP.
• Meet or exceed performance targets for productivity and quality.
• Partner with Reimbursement Specialists to research accounts and validate refunds.
• Maintain knowledge of CPT-4/ICD-10, payer requirements, posting and reconciliation.

Skills

Healthcare billing

CPT-ICD-10 coding

Revenue cycle understanding

Organization skills

Problem solving

Customer service oriented

Microsoft Office

Billing software experience

Education

High School Graduate / GED

Technical school or associate degree preferred

Tools

Cerner

Epic

IDX

Microsoft Office

Job description

Responsibilities

Remote opportunity.

This role requires a 3 month training period in the King of Prussia, PA headquarters.

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

To learn more about IPM visit Physician Services - Independence Physician Management - UHS.

The Refund Specialist responsible for the accurate and timely resolution of the Practice Management System (PMS) self-pay and insurance credits.

Job Duties & Responsibilities:

• Thoroughly researches credit balances to determine if an overpayment occurred and initiates the refund process accordingly outlining the reason for the refund and including explanation of benefits (EOBs), if needed.


• Handles payer refund requests including validating the refund following review of the account history and submission of a refund request to Accounts Payable.


• Meets or exceeds established performance targets (productivity and quality) established by their supervisor.


• Partners with the Reimbursement Specialists, as needed, to research accounts and validate self-pay and insurance refunds.


• Maintains a working knowledge of CPT-4 and ICD-10 coding principles, government, managed care and commercial payers, payment posting, ERA processing, claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.


• Demonstrates the ability to be an effective collaborator. Upholds “best practices” in day-to-day processes and workflow standardization to drive maximum efficiency across the team.

Benefit& RewardsHighlights

• Challenging and rewarding work environment


• Competitive Compensation & Generous Paid Time Off


• Excellent Medical, Dental, Vision and Prescription Drug Plans


• 401(K) with company match and discounted stock plan


• Career development opportunities within UHS and its 300+ Subsidiaries!


• Pet Insurance


• More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since itsinceptioninto an esteemed Fortune 500 corporation, annualrevenuesduring2025were$17.4billion.In 2026,UHS was again recognized as one of Fortune World’s Most Admired Companies and in 2025, waslisted in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.

Qualifications

• High School Graduate/GED required.


• Technical school or associate degree preferred.


• Experience (3-5 years minimum) working in a healthcare (professional) billing, health insurance or equivalent operations work environment.


• Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, claim submission requirements, payment posting and remittance processing.


• Understanding of the revenue cycle and how the various components work together preferred.


• Excellent organization skills, diligence, research and problem-solving ability.


• Results oriented with a proven history of accomplishing tasks within a high-performing team environment.


• Service-oriented/customer-centric.


• Strong computer literacy skills including proficiency in Microsoft Office.


• Billing software (e.g., Cerner, Epic, IDX) experience highly desirable.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.