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Insurance Refund Specialist Jobs (NOW HIRING)

ENT and Allergy Associates

Refund Specialist

Tarrytown, NY · On-site

$20 - $21/hr

Covering areas where a refund specialist may be absent including Insurance Refunds (cross training) * Suggest improvement in processes when applicable * Must be very detail oriented and able to multi ...

Alan B. Miller Medical Center

Refund Specialist

Position Overview The Refund Specialist is responsible for the accurate and timely resolution of the Practice Management System (PMS) self-pay and insurance credits. Duties and Responsibilities

UHS

Refund Specialist

PA · On-site

The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Universal Health Services

Refund Specialist

The Refund Specialist responsible for the accurate and timely resolution of the Practice Management System (PMS) self-pay and insurance credits. Job Duties: * Thoroughly researches credit balances to ...

UHS

Refund Specialist

Wayne, PA · On-site +1

The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

UHS

Refund Specialist

Wayne, PA · On-site +1

The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Universal Health Services

Refund Specialist

Wayne, PA · On-site

The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... Pet Insurance * More information is available on our Benefits Guest Website: benefits.uhsguest.com ...

Universal Health Services

PA · On-site

The Refund Specialist responsible for the accurate and timely resolution of the Practice Management ... Pet Insurance * More information is available on our Benefits Guest Website:benefits.uhsguest.com ...

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Insurance Refund Specialist information

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$15

$24

$36

How much do insurance refund specialist jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for insurance refund specialist in the United States is $24.06, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $30.29 per hour, depending on experience, location, and employer.

What does an insurance refund specialist do?

An Insurance Refund Specialist is responsible for processing and managing refunds related to overpayments or adjustments on insurance claims. They review account information, verify overpayments, and ensure that refunds are accurately issued to patients or insurance companies. Their role involves communication with insurance providers, patients, and internal billing departments to resolve discrepancies and maintain accurate financial records. Attention to detail, knowledge of insurance policies, and strong organizational skills are essential for this position.

What are the key skills and qualifications needed to thrive as an insurance refund specialist, and why are they important?

To thrive as an Insurance Refund Specialist, you need a solid understanding of medical billing, insurance claim processing, and healthcare reimbursement policies, typically supported by experience in medical office administration or a related field. Familiarity with practice management software, electronic health record (EHR) systems, and insurance portals is essential, and a Certified Professional Biller (CPB) or similar certification can be advantageous. Attention to detail, strong organizational skills, and effective communication are important soft skills for accurately resolving refunds and coordinating with patients and insurance providers. These skills and qualifications are crucial for ensuring accurate financial transactions, minimizing errors, and maintaining compliance within healthcare revenue cycle operations.

What are some of the most common challenges faced by insurance refund specialists, and how can they be addressed?

Insurance Refund Specialists often encounter challenges such as navigating complex billing systems, resolving discrepancies between insurance payments and billed amounts, and communicating with both insurance companies and patients to clarify refund details. Staying organized and detail-oriented is essential for managing multiple accounts and ensuring timely processing of refunds. Building strong relationships with colleagues in billing, finance, and customer service departments can help streamline workflows and resolve issues efficiently.

What is the difference between Insurance Refund Specialist vs Insurance Claims Processor?

AspectInsurance Refund SpecialistInsurance Claims Processor
CredentialsHigh school diploma, certifications in insurance or customer serviceHigh school diploma, insurance certifications often preferred
Work EnvironmentOffice setting, customer service interactions, claims reviewOffice environment, data entry, claims assessment
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, healthcare providers
Primary FocusProcessing refunds and resolving billing issuesEvaluating and processing insurance claims

The main difference is that Insurance Refund Specialists focus on handling refunds and billing disputes, while Insurance Claims Processors evaluate and process insurance claims. Both roles require similar certifications and work in insurance settings, but their core responsibilities differ, with Refund Specialists concentrating on refunds and Claims Processors on claim evaluation.

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Insurance Refund Specialist jobs near you
Infographic showing various Insurance Refund Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 20% Part Time, and 6% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $50,041 per year, or $24.1 per hour.

Hospital Insurance Refund Specialist

Beaufort, SC • On-site

Beaufort Memorial Hospital
Health Care and Social Assistance • 1 - 5K employees

6.4

Company rating: 6.4 out of 10

Based on 21 frontline employees who took The Breakroom Quiz

752nd of 1,064 rated hospitals

People enjoy working here

Learn more about Beaufort Memorial Hospitalexternal

Other

Re-posted 11 hours ago

Job description

About the Organization
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!
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
Credit Balance Management
  • 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.
Compliance & Audit Support
  • 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.
Collaboration & Communication
  • 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.
Reporting & Documentation
  • 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.
Position Requirements
JOB QUALIFICATIONS:
EDUCATION:
  • High school diploma or equivalent required
EXPERIENCE:
  • 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.
JOB KNOWLEDGE, SKILLS & ABILITIES REQUIRED:
  • 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.
CERTIFICATIONS/ LICENSES:
  • 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.
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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

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