Refund Specialist III - Remote
About The Position
The Refund Specialist III validates and tracks credits due to insurance companies, patients and other payers. The incumbent of this role is responsible for understanding payor contracts and preparing refund requests. This role may also be assigned to post payments and perform essential cash management duties. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estimate for this role is $19.95 - $31.92 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.
Requirements
- Highschool diploma or equivalent required.
- 5+ years of medical billing experience required.
- Knowledge of medical terminology and computer literacy are required.
- Strong experience with payor contracts.
- 4+ years posting experience.
- Basic office skills required; advanced office skills preferred.
- Strong working knowledge of Excel.
- Strong communication skills both oral and written.
- Accurate data entry skills.
- Attention to detail a must.
- Ability to identify trends in underpayments/overpayments.
Nice To Haves
- advanced office skills preferred.
Responsibilities
- Maintains and processes assigned work queue items accurately and within established timelines.
- Analyzes account activity to determine refund eligibility and ensure correct payment handling.
- Works with both government and commercial payers to resolve overpayments.
- Collaborates with internal teams to resolve complex refund-related issues.
- Identifies trends, potential process improvements, and opportunities to reduce rework.
- Reviews and resolves charge corrected and non-charge corrected invoices.
- Submits overpayment requests in payer portals.
- Prepares Refund Request Forms and supporting documentation regarding refund checks.
- Maintains HIPAA patient confidentiality standards for medical and financial information.
- Meets or exceeds department KPI’s and productivity targets.
- Performs all other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
