Refund Specialist

Altru Health System; United States; On-site; USD 24,000 - 35,000; Full time

Job summary

Altru Health System in the United States is seeking a Refund Specialist to support clinic and hospital Business Office staff by processing refunds and distributing insurance payments or adjustments. The role covers the full revenue cycle to ensure accurate payments and proper documentation.

The ideal candidate will have at least 1 year of related experience and English proficiency; an associate degree in business is preferred.

Qualifications

• Proficiency in reading, writing, and speaking English.
• Minimum of 1 year related experience preferred.

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.

Education

Associates degree or higher in Business/Related field

Job description

Location: Altru Health System PO Box 6002 Grand 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)

At Altru, everything we do is underscored by a why—and that why is one another.

We believe in the power of community and the difference we can make together. As the trusted healthcare provider in our region, we’re driven by a commitment to quality care and creating a supportive environment where every team member can thrive.

Here, you’ll have opportunities to advance your skills, work with the latest technologies, and experience the fulfillment that comes from giving back—taking your career wherever you want it to go.

Altru provides reasonable accommodations to individuals with disabilities to increase opportunities and eliminate barriers to employment. If you need a reasonable accommodation in the application process to access job postings, to apply for a job, for a job interview, for pre-employment testing, or with the onboarding process, please contact Altru’s Human Resources Department at [e-mail] or 701.780.5107.

Altru is an Equal Opportunity Employer.

Learn more or to request a copy of our Equal Employment Opportunity and Eligibility policy and Aff….

Additionally, the following poster is available through the Department of Labor: Know Your Rights.

Altru participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.