Refund Specialist

Refund Specialist

The Refund Specialist researches patient accounts on all requested refunds to determine if applied payment should be refunded. The Refund Specialist reviews the explanation of benefits and contacts insurance carriers for additional information.

Location: Canton, OH

This position is remote, but may require occasional onsite meeting attendance in the Corporate Offices, located in Canton, OH.

Essential Job Functions:

• Determine if applied payments should be refunded by researching patient accounts on all requested refunds or credit balances.
• Confirm how payment was applied to patient's account by reviewing explanation of benefits.
• Communicate with insurance carriers via phone to gather additional information needed to process requested refund.
• Perform all necessary adjustments within guarantor account and/or enters adjustments for refund when applicable.
• Enter all necessary notations in the system to allow for proper communication and tracking.
• Enter refunds into the billing system.
• Maintain corresponding back up documentation on all adjusted and refunded accounts.
• Perform and assist with other department duties as needed.

Knowledge, Skills and Abilities:

• Thorough knowledge of the payment processing functions and all related issues.
• Knowledge of and skill in using personal computers in a Windows environment. Emphasis on basic spreadsheet applications and data entry.
• Knowledge of medical insurance/government payors and related terminology.
• Ability to pay close attention to detail.
• Ability to identify, research and solve problems and discrepancies.
• Ability to communicate with coworkers, management, and third-party payors in a courteous and professional manner.
• Ability to maintain confidentiality.
• Ability to process assigned duties in an organized manner.
• Ability to perform basic mathematical calculations such as adding, subtracting, multiplying and dividing.
• Ability to effectively perform in a multi-task environment.
• Ability to work overtime when needed.

Education and Experience:

• High school diploma or equivalent.
• At least one year of combined experience in medical insurance, payment processing or insurance follow-up

Physical Demands:

• While performing the duties of this job, the employee is regularly required to sit for prolonged periods and occasionally walk, stand, bend, stoop, and lift up to 15 pounds.
• Required to have close visual acuity to perform the job.

Hourly Rate: $16.33-$30.21

USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees.

• Medical, dental, and vision insurance options
• Health savings accounts (HSA) and flexible spending accounts (FSA)
• 401(k) employee and employer contributions
• Paid time off, including vacation, sick leave, and company holidays
• Paid parental leave & family support benefits
• Short-term and long-term disability insurance
• Life and accidental death & dismemberment (AD&D) insurance
• Employee assistance programs & wellness resources

Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role.