Refund Processing * Review insurance overpayments, credit balances, and refund requests for ... Analyze patient accounts to identify true credit balances versus misapplied payments or posting ...
Refund Processing * Review insurance overpayments, credit balances, and refund requests for ... Analyze patient accounts to identify true credit balances versus misapplied payments or posting ...
Credit Balance Resolution Specialist
Greenville, NC · On-site
$16.31 - $23.78/hr
Initiate refunds to patients/guarantors, insurance companies, and other third parties by following ... Strong quantitative, analytical and organizational skills. * Advanced understanding of an ...
Credit Balance Resolution Specialist
Greenville, NC · On-site
$16.31 - $23.78/hr
Initiate refunds to patients/guarantors, insurance companies, and other third parties by following ... Strong quantitative, analytical and organizational skills. * Advanced understanding of an ...
Credit Balance Specialist
Brea, CA · On-site
$20 - $27.50/hr
We are seeking a detail-oriented and organized Overpayment Refund Specialist to join our ambulance billing team. This role is responsible for identifying, validating, disputing when appropriate, and ...
Credit Balance Specialist
Brea, CA · On-site
$20 - $27.50/hr
We are seeking a detail-oriented and organized Overpayment Refund Specialist to join our ambulance billing team. This role is responsible for identifying, validating, disputing when appropriate, and ...
Credit Balance Specialist
Brea, CA · On-site
$20 - $27.50/hr
We are seeking a detail-oriented and organized Overpayment Refund Specialist to join our ambulance billing team. This role is responsible for identifying, validating, disputing when appropriate, and ...
Credit Balance Specialist
Brea, CA · On-site
$20 - $27.50/hr
We are seeking a detail-oriented and organized Overpayment Refund Specialist to join our ambulance billing team. This role is responsible for identifying, validating, disputing when appropriate, and ...
Refund/Credit Balance Researcher *THIS IS A FULLY ONSITE POSITION* Enjoy Life in Great Health! Come Discover KPC Health! SUMMARY Under direct supervision, is responsible for refund/credit balance ...
Refund/Credit Balance Researcher *THIS IS A FULLY ONSITE POSITION* Enjoy Life in Great Health! Come Discover KPC Health! SUMMARY Under direct supervision, is responsible for refund/credit balance ...
REFUND SPECIALIST
Baltimore, MD · On-site
$21.70 - $27.12/hr
Responsible for the identifying and processing of all insurance and patient credit balances for ... Ability to analyze, research and answers refund questions. * Responsible for the reconciliation of ...
REFUND SPECIALIST
Baltimore, MD · On-site
$21.70 - $27.12/hr
Responsible for the identifying and processing of all insurance and patient credit balances for ... Ability to analyze, research and answers refund questions. * Responsible for the reconciliation of ...
REFUND SPECIALIST
Baltimore, MD · On-site
Responsible for the identifying and processing of all insurance and patient credit balances for ... Ability to analyze, research and answers refund questions. * Responsible for the reconciliation of ...
REFUND SPECIALIST
Baltimore, MD · On-site
Responsible for the identifying and processing of all insurance and patient credit balances for ... Ability to analyze, research and answers refund questions. * Responsible for the reconciliation of ...
REFUND SPECIALIST
Baltimore, MD · On-site
Responsible for the identifying and processing of all insurance and patient credit balances for ... Ability to analyze, research and answers refund questions. * Responsible for the reconciliation of ...
REFUND SPECIALIST
Baltimore, MD · On-site
Responsible for the identifying and processing of all insurance and patient credit balances for ... Ability to analyze, research and answers refund questions. * Responsible for the reconciliation of ...
Refund Specialist
Pittsburgh, PA · On-site
$20.20 - $32.01/hr
Review credit balances for possible distribution to other debit balances. * Ensure that all validated Government payer refunds are processed in a timely manner or within the payer guidelines.
Refund Specialist
Pittsburgh, PA · On-site
$20.20 - $32.01/hr
Review credit balances for possible distribution to other debit balances. * Ensure that all validated Government payer refunds are processed in a timely manner or within the payer guidelines.
Refund Representative - Santa Ana, CA ONSITE
Anaheim, CA · On-site
$23.25 - $37.70/hr
SUMMARY Under direct supervision, is responsible for refund/credit balance research. REQUIREMENTS RESPONSIBILITIES AND DUTIES: * Maintains established policies and procedures, objectives, quality ...
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Refund Representative - Santa Ana, CA ONSITE
Anaheim, CA · On-site
$23.25 - $37.70/hr
SUMMARY Under direct supervision, is responsible for refund/credit balance research. REQUIREMENTS RESPONSIBILITIES AND DUTIES: * Maintains established policies and procedures, objectives, quality ...
SUMMARY Under direct supervision, is responsible for refund/credit balance research. REQUIREMENTS RESPONSIBILITIES AND DUTIES: • Maintains established policies and procedures, objectives, quality ...
SUMMARY Under direct supervision, is responsible for refund/credit balance research. REQUIREMENTS RESPONSIBILITIES AND DUTIES: • Maintains established policies and procedures, objectives, quality ...
Identifies credit balances due to electronic or manual insurance overpayments, patient overpayments ... Issues patient and insurance refunds. * Detects posting and payer trends and/or errors. * Handles ...
New
Identifies credit balances due to electronic or manual insurance overpayments, patient overpayments ... Issues patient and insurance refunds. * Detects posting and payer trends and/or errors. * Handles ...
New
Identifies credit balances due to electronic or manual insurance overpayments, patient overpayments ... Issues patient and insurance refunds. * Detects posting and payer trends and/or errors. * Handles ...
New
Identifies credit balances due to electronic or manual insurance overpayments, patient overpayments ... Issues patient and insurance refunds. * Detects posting and payer trends and/or errors. * Handles ...
New
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Manages credit balance inventory to ensure credit balances and refund requests are resolved within ... Strong Excel experience using pivot tables and analyzing large datasets. * Strong interpersonal ...
Manages credit balance inventory to ensure credit balances and refund requests are resolved within ... Strong Excel experience using pivot tables and analyzing large datasets. * Strong interpersonal ...
Pharmacy Benefit Credit and Refund Specialist Coordinator, Revenue Cycle (Hybrid)
Monroeville, PA · On-site
$17 - $28.46/hr
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Pharmacy Benefit Credit and Refund Specialist Coordinator, Revenue Cycle (Hybrid)
Monroeville, PA · On-site
$17 - $28.46/hr
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Perform analytical activities for the revenue cycle department managing healthcare accounts ... balances. * Maintain patient demographic information and data collection systems Research and ...
Credit Balance Refund Analyst information
See salary details
$15.14 - $18.23
4% of jobs
$18.23 - $21.31
11% of jobs
$22.74 is the 25th percentile. Wages below this are outliers.
$21.31 - $24.39
22% of jobs
The median wage is $26.96 / hr.
$24.39 - $27.47
16% of jobs
$27.47 - $30.55
14% of jobs
$32.67 is the 75th percentile. Wages above this are outliers.
$30.55 - $33.63
13% of jobs
$33.63 - $36.71
7% of jobs
$36.71 - $39.79
6% of jobs
$39.79 - $42.88
3% of jobs
$42.88 - $45.96
2% of jobs
$45.96 - $49.04
2% of jobs
$15
$29
$49
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Hospital Insurance Refund Specialist
Beaufort, SC • On-site
Other
Re-posted 19 days ago
Beaufort Memorial Hospital rating
6.4
Based on 21 frontline employees who took The Breakroom Quiz
Job description
Join the team that's redefining healthcare in the Lowcountry. At Beaufort Memorial Hospital, we're not just filling positions, we're building the future of healthcare.
As the largest locally governed healthcare system between Charleston and Savannah, Beaufort Memorial is experiencing unprecedented growth, innovation, and transformation. With a new hospital in the horizon, expanded services, significant investments in workforce development, and a renewed commitment to employee experience, there has never been a more exciting time to join our team. Our People team has recently undergone a strategic transformation, bringing together some of the brightest minds in talent acquisition, workforce development, employee engagement, leadership development, analytics, and human resources. We've reimagined how we attract, develop, engage, and retain exceptional talent because we believe our employees deserve the same level of excellence that we provide to our patients.
Why Beaufort Memorial? At Beaufort Memorial, you'll find more than a job - you'll find purpose, opportunity, and a team that is invested in your success. Whether you're an experienced healthcare professional, a new graduate, or someone looking to grow your career, you'll have access to career pathways, leadership development, educational opportunities, mentorships, recognition programs, and a culture built on collaboration, accountability, and compassion. If you're looking for an organization where your voice matters, your contributions are recognized, and your career can thrive, we invite you to explore what is possible at Beaufort Memorial Hospital. Beaufort Memorial is a locally governed, community-focused healthcare system that offers competitive compensation and comprehensive benefits. Beaufort Memorial offers career growth, advancement opportunities, workforce education, and career pathway initiatives. Come be a part of something bigger!
Req Number
ACC-26-00005
Position
Hospital Insurance Refund Specialist
Location
Beaufort Memorial Hospital
Full-Time/Part-Time
Full-Time
Shift
Days
Exempt/Non-Exempt
Non-Exempt
Description
JOB SUMMARY:
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory requirements, and internal policies. This role ensures accurate financial transactions, prevents inappropriate refunds, and supports the integrity of the hospital's revenue cycle.
ONGOING COMPETENCIES (JOB SPECIFIC DUTIES & RESPONSIBILITIES):
Refund Processing
- Review insurance overpayments, credit balances, and refund requests for accuracy and validity.
- Process approved refunds to insurance carriers, government payers, and third party entities.
- Ensure refunds are completed within required timeframes to avoid penalties or compliance issues.
- Verify that all refund transactions are properly documented and posted in the billing system
- Analyze patient accounts to identify true credit balances versus misapplied payments or posting errors.
- Research root causes of credit balances and coordinate corrections with cash posting, billing, and follow up teams.
- Prevent inappropriate refunds by validating account activity and payer remittance details.
- Ensure all refund activities comply with federal and state regulations, including Medicare/Medicaid rules.
- Maintain accurate records for internal and external audits.
- Assist with responding to payer inquiries, audit requests, and compliance reviews.
- Work closely with insurance companies, internal departments, and finance teams to resolve discrepancies.
- Communicate clearly with payers regarding refund status, documentation, and required forms.
- Escalate complex issues to leadership when necessary.
- Prepare daily, weekly, or monthly reports on refund volumes, aging, and trends.
- Track refund activity and credit balance resolution metrics.
- Maintain detailed notes and documentation in the hospital billing system.
JOB QUALIFICATIONS:
EDUCATION:
- High school diploma or equivalent required
- 1-3 years of experience in hospital billing, insurance follow up, cash posting, or credit balance resolution.
- Experience with hospital billing systems (Epic, Cerner, Meditech, etc.) preferred.
- Strong understanding of insurance billing, remittance processing, and credit balance workflows.
- Excellent analytical and problem solving skills.
- High attention to detail and accuracy.
- Ability to interpret EOBs, ERAs, and payer guidelines.
- Strong communication and organizational skills.
- Ability to work independently and manage multiple priorities.
- N/A
EOE Statement
Beaufort Memorial Hospital is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.
What Beaufort Memorial Hospital employees say
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Benefits
Hours and flexibility
Workplace
Get the full story on Breakroom
About Beaufort Memorial Hospital
Sourced by ZipRecruiter
Beaufort Memorial, a not-for-profit hospital founded in 1944 on the banks of the Atlantic Intracoastal Waterway, is licensed for 201 beds (169 acute, 14 rehabilitation and 18 mental health). We are an acute-care hospital, a regional referral center and the largest medical facility between Savannah, Ga., and Charleston, S.C. Read our most recent Report to the Community. Fully accredited by The Joint Commission, Beaufort Memorial boasts a dedicated, high-quality medical staff of nearly 230 board-certified or board-eligible providers. Our mission is to enhance the quality of life in the Lowcountry through improved health, innovative partnerships and superior care.
Industry
Health care and social assistance
Company size
1,001 - 5,000 Employees
Headquarters location
Beaufort, SC, US
Year founded
1944