Refund Specialist

Job Summary

Working remotely in a full-time capacity, the Refund Specialist I will manage the investigation of patient accounts to identify overpayments, ensuring accurate refund processing and correction of discrepancies within the Athena Billing System.

Key responsibilities

• Investigate requested refunds and credit balances by reviewing patient accounts for unapplied payments causing overpayments
• Verify payment application details and analyze internal deposit and payment batches to detect duplicate postings
• Communicate with patients, payors, and team members to maintain financial accuracy and compliance

Required qualifications

• High school diploma or equivalent required
• Minimum of two years combined experience in medical insurance, payment processing, or insurance follow-up preferred
• Experience with Insurance Websites/Portals/Overpayment Forms required
• Strong knowledge of Coordination of Benefits including Government and Commercial Carriers required
• Familiarity with the AthenaOne Billing System is preferred but not mandatory