Refund Specialist — Impactful Revenue Cycle Support

RiseMe; North Dakota; On-site; USD 24,000 - 35,000; Full time

Job summary

Altru Health System in Grand Forks, ND is seeking a Refund Specialist to support clinic and hospital Business Office staff by processing refunds and distributing insurance payments or adjustments. The specialist manages accounts through the revenue cycle, handling overpayments, credit balances, and payment work queues, ensuring accurate payments and compliance with billing requirements.

The position requires at least 1 year related experience; Education preferred: Associates - Business; English

Qualifications

• Minimum 1 year related experience.
• Proficiency in reading, writing, and speaking English.
• Prefers an Associates degree in Business.

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 - Business

Job description

Altru Health System in Grand Forks, ND is seeking a Refund Specialist to support clinic and hospital Business Office staff by processing refunds and distributing insurance payments or adjustments. The specialist manages accounts through the revenue cycle, handling overpayments, credit balances, and payment work queues, ensuring accurate payments and compliance with billing requirements.

The position requires at least 1 year related experience; Education preferred: Associates - Business; English