Refund Specialist
Wayne, PA · On-site +1
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.
Wayne, PA · On-site +1
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.
Wayne, PA · On-site +1
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.
PA · On-site
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.
PA · On-site
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.
Wayne, PA · On-site +1
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.
Wayne, PA · On-site +1
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... claim adjustment reason codes, contractual adjustment, copays, coinsurance, and deductibles.
Carmel, IN · On-site
A Product Refund Supervisor will supervise activities of a team of refund specialist and refund ... Responsible for the overall process related to refund and claim adjudication activities including ...
Carmel, IN · On-site
A Product Refund Supervisor will supervise activities of a team of refund specialist and refund ... Responsible for the overall process related to refund and claim adjudication activities including ...
A Product Refund Supervisor will supervise activities of a team of refund specialist and refund ... Responsible for the overall process related to refund and claim adjudication activities including ...
A Product Refund Supervisor will supervise activities of a team of refund specialist and refund ... Responsible for the overall process related to refund and claim adjudication activities including ...
Carmel, IN · On-site
$70 - $100/hr
... and claim related activities of the team. Coordinates the work activities within the unit ... Advises refund specialists and refund analysts on strategies to resolve issues as necessary after ...
Carmel, IN · On-site
$70 - $100/hr
... and claim related activities of the team. Coordinates the work activities within the unit ... Advises refund specialists and refund analysts on strategies to resolve issues as necessary after ...
Baltimore, MD · On-site
$18.50 - $23.25/hr
... claim adjudication * Submit carrier appeals and reconsideration request in a timely manner * Identify and submit the required insurance refund request to refund specialist according to policy and ...
Baltimore, MD · On-site
$18.50 - $23.25/hr
... claim adjudication * Submit carrier appeals and reconsideration request in a timely manner * Identify and submit the required insurance refund request to refund specialist according to policy and ...
Must be able to correctly interpret insurance contracts making adjustment or refund determinations ... Calls payers as appropriate to obtain additional insight into claim processing and payment amount(s)
Must be able to correctly interpret insurance contracts making adjustment or refund determinations ... Calls payers as appropriate to obtain additional insight into claim processing and payment amount(s)
Rancho Cordova, CA · On-site
$25 - $28/hr
... refunds, overpayments, and underpayments. Other duties include processing special claims which may ... Processes special claim payments, specifically for VA CCN client. * Processes returned client ...
Rancho Cordova, CA · On-site
$25 - $28/hr
... refunds, overpayments, and underpayments. Other duties include processing special claims which may ... Processes special claim payments, specifically for VA CCN client. * Processes returned client ...
$18 - $22.86/hr
Claim submission, corrections and RTPs * Perform Account Status and Follow up * Resolve Credit ... Processes refund requests promptly and efficiently while adhering to the internal protocols and ...
$18 - $22.86/hr
Claim submission, corrections and RTPs * Perform Account Status and Follow up * Resolve Credit ... Processes refund requests promptly and efficiently while adhering to the internal protocols and ...
Canastota, NY · On-site
$18 - $22.86/hr
Claim submission, corrections and RTPs * Perform Account Status and Follow up * Resolve Credit ... Processes refund requests promptly and efficiently while adhering to the internal protocols and ...
Canastota, NY · On-site
$18 - $22.86/hr
Claim submission, corrections and RTPs * Perform Account Status and Follow up * Resolve Credit ... Processes refund requests promptly and efficiently while adhering to the internal protocols and ...
Dover, DE · On-site
The Specialist also serves as a subject matter expert for colleagues concerning expected ... refunds for accuracy. 9. Escalates insurance company and internal claim related issues to ...
Dover, DE · On-site
The Specialist also serves as a subject matter expert for colleagues concerning expected ... refunds for accuracy. 9. Escalates insurance company and internal claim related issues to ...
Clockville, NY · On-site
$52 - $75/hr
... resolve claim payment denialsCorrespondence resolutionExternal audit requests related to credit ... Processes refund requests promptly and efficiently while adhering to the internal protocols and ...
Clockville, NY · On-site
$52 - $75/hr
... resolve claim payment denialsCorrespondence resolutionExternal audit requests related to credit ... Processes refund requests promptly and efficiently while adhering to the internal protocols and ...
Charlotte, NC · On-site
$21.53 - $28.43/hr
Ensures claim information is complete and accurate for charge entry and data enters key demographic ... insurance refund requests, research missing payments, process bankruptcy and deceased patient ...
Charlotte, NC · On-site
$21.53 - $28.43/hr
Ensures claim information is complete and accurate for charge entry and data enters key demographic ... insurance refund requests, research missing payments, process bankruptcy and deceased patient ...
Charlotte, NC · On-site
$21.53 - $28.43/hr
Ensures claim information is complete and accurate for charge entry and data enters key demographic ... insurance refund requests, research missing payments, process bankruptcy and deceased patient ...
Quick apply
Charlotte, NC · On-site
$21.53 - $28.43/hr
Ensures claim information is complete and accurate for charge entry and data enters key demographic ... insurance refund requests, research missing payments, process bankruptcy and deceased patient ...
Bryant, AR · On-site
$52 - $72/hr
The Revenue Cycle Specialist will work closely with insurance carriers, patients, internal billing ... Review incoming insurance and patient correspondence, including refund requests, claim notices ...
Bryant, AR · On-site
$52 - $72/hr
The Revenue Cycle Specialist will work closely with insurance carriers, patients, internal billing ... Review incoming insurance and patient correspondence, including refund requests, claim notices ...
Inland, NE · On-site
$20.43 - $30.65/hr
Base Pay Range: $20.43 - $30.65 The Insurance Specialist is a Full-Time, Regular position working ... claim to insurance companies. * Review appropriateness and process refunds for all payers as ...
Inland, NE · On-site
$20.43 - $30.65/hr
Base Pay Range: $20.43 - $30.65 The Insurance Specialist is a Full-Time, Regular position working ... claim to insurance companies. * Review appropriateness and process refunds for all payers as ...
Spokane, WA · On-site
$20.43 - $30.65/hr
Base Pay Range: $20.43 - $30.65 The Insurance Specialist is a Full-Time, Regular position working ... claim to insurance companies. * Review appropriateness and process refunds for all payers as ...
Spokane, WA · On-site
$20.43 - $30.65/hr
Base Pay Range: $20.43 - $30.65 The Insurance Specialist is a Full-Time, Regular position working ... claim to insurance companies. * Review appropriateness and process refunds for all payers as ...
Decatur, AL · On-site
$17.25 - $23.25/hr
The IBF Specialist will also work credit balances and process refunds with communication with our ... Contact insurance companies to obtain claim status, resolve denials, and secure payment.
Decatur, AL · On-site
$17.25 - $23.25/hr
The IBF Specialist will also work credit balances and process refunds with communication with our ... Contact insurance companies to obtain claim status, resolve denials, and secure payment.
Decatur, AL · On-site
$17.25 - $23.25/hr
The IBF Specialist will also work credit balances and process refunds with communication with our ... Contact insurance companies to obtain claim status, resolve denials, and secure payment.
Decatur, AL · On-site
$17.25 - $23.25/hr
The IBF Specialist will also work credit balances and process refunds with communication with our ... Contact insurance companies to obtain claim status, resolve denials, and secure payment.
$15.63 - $17.55
15% of jobs
$18.65 is the 25th percentile. Wages below this are outliers.
$17.55 - $19.47
18% of jobs
The median wage is $20.91 / hr.
$19.47 - $21.39
23% of jobs
$21.39 - $23.32
13% of jobs
$23.32 - $25.24
3% of jobs
$25.24 - $27.16
3% of jobs
$27.28 is the 75th percentile. Wages above this are outliers.
$27.16 - $29.09
4% of jobs
$29.09 - $31.01
2% of jobs
$31.01 - $32.93
3% of jobs
$32.93 - $34.86
13% of jobs
$34.86 - $36.78
3% of jobs
$15
$24
$36
| Aspect | Claim Refund Specialist | Claims Processor |
|---|---|---|
| Required Credentials | High school diploma, certifications in insurance or claims processing | High school diploma, training in claims processing |
| Work Environment | Insurance companies, healthcare providers, government agencies | Insurance companies, healthcare providers, third-party administrators |
| Employer & Industry Usage | Commonly employed in insurance and healthcare sectors | Used across insurance and claims management industries |
| Search & Comparison Intent | Often compared for roles involving refunds and reimbursements | Compared for processing claims efficiently |
The Claim Refund Specialist focuses on handling refunds, reimbursements, and resolving billing issues, often requiring knowledge of insurance policies and customer service skills. Claims Processors primarily review and process insurance claims, verifying information and ensuring accurate payment. While both roles involve claims management, Claim Refund Specialists concentrate on refunds and billing disputes, whereas Claims Processors handle the overall claims review process.
Cities with the most Claim Refund Specialist job openings:
States with the most job openings for Claim Refund Specialist jobs include:
The top searched job categories for Claim Refund Specialist jobs are:

Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 29 days ago
6.9
Based on 254 frontline employees who took The Breakroom Quiz
453rd of 898 rated healthcare providers
Remote opportunity.
This role requires a 3 month training period in the King of Prussia, PA headquarters.
Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 12 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.
To learn more about IPM visit Physician Services - Independence Physician Management - UHS.
The Refund Specialist responsible for the accurate and timely resolution of the Practice Management System (PMS) self-pay and insurance credits.
Job Duties & Responsibilities:
Benefit & Rewards Highlights
About Universal Health Services
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World’s Most Admired Companies™ and in 2025, was listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. For additional information visit www.uhs.com.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Qualifications:EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Education:UNAVAILABLEEmployment Type: FULL_TIMEGet the full story on Breakroom
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Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Health care and social assistance
10,000+ Employees
King of Prussia, PA, US