The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
Quick apply
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
The Hospital Insurance Refund Specialist is responsible for reviewing, validating, and processing insurance overpayments and refund requests in accordance with payer guidelines, regulatory ...
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 ...
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 ...
Refund Specialist
Tarrytown, NY · On-site
$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 ...
Refund Specialist
Tarrytown, NY · On-site
$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 ...
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 ...
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 ...
Refund Specialist
Tarrytown, NY · On-site
$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 ...
Refund Specialist
Tarrytown, NY · On-site
$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 ...
Medical Refund Specialist (Revenue Cycle)
Manhattan, NY · On-site
$20/hr
Provide coverage for insurance refund workflows when needed and identify opportunities to improve refund processing efficiency and accuracy. Qualifications for the Medical Refund Specialist (Revenue ...
Medical Refund Specialist (Revenue Cycle)
Manhattan, NY · On-site
$20/hr
Provide coverage for insurance refund workflows when needed and identify opportunities to improve refund processing efficiency and accuracy. Qualifications for the Medical Refund Specialist (Revenue ...
Refund Specialist The Refund Specialist is responsible for researching patient accounts across all ... This role involves detailed review of insurance payments, explanation of benefits (EOBs), and ...
Refund Specialist The Refund Specialist is responsible for researching patient accounts across all ... This role involves detailed review of insurance payments, explanation of benefits (EOBs), and ...
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 ...
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 ...
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 ...
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 ...
This role involves detailed review of insurance payments, explanation of benefits (EOBs), and ... The Refund Specialist works collaboratively across departments to identify trends, recover funds ...
Quick apply
This role involves detailed review of insurance payments, explanation of benefits (EOBs), and ... The Refund Specialist works collaboratively across departments to identify trends, recover funds ...
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 ...
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 ...
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 ...
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 ...
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 ...
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 ...
Refund Specialist Fully Remote • McKinney, TX 75070 Overview Position Type Full Time Education ... Investigate and validate insurance and patient refund requests to determine legitimacy, accuracy ...
New
Refund Specialist Fully Remote • McKinney, TX 75070 Overview Position Type Full Time Education ... Investigate and validate insurance and patient refund requests to determine legitimacy, accuracy ...
New
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 ...
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 ...
This role involves detailed review of insurance payments, explanation of benefits (EOBs), and ... The Refund Specialist works collaboratively across departments to identify trends, recover funds ...
This role involves detailed review of insurance payments, explanation of benefits (EOBs), and ... The Refund Specialist works collaboratively across departments to identify trends, recover funds ...
REFUND SPECIALIST
Baltimore, MD · On-site
Responsible for the identifying and processing of all insurance and patient credit balances for ... The Refund Specialist will interact with physicians, administration, clinical, accounting and staff ...
REFUND SPECIALIST
Baltimore, MD · On-site
Responsible for the identifying and processing of all insurance and patient credit balances for ... The Refund Specialist will interact with physicians, administration, clinical, accounting and staff ...
Insurance Refund Specialist information
See salary details
$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
How much do insurance refund specialist jobs pay per hour?
As of Sep 7, 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?
| Aspect | Insurance Refund Specialist | Insurance Claims Processor |
|---|---|---|
| Credentials | High school diploma, certifications in insurance or customer service | High school diploma, insurance certifications often preferred |
| Work Environment | Office setting, customer service interactions, claims review | Office environment, data entry, claims assessment |
| Employer & Industry | Insurance companies, third-party administrators | Insurance companies, healthcare providers |
| Primary Focus | Processing refunds and resolving billing issues | Evaluating 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.
More about Insurance Refund Specialist jobs
What cities are hiring for Insurance Refund Specialist jobs?
Cities with the most Insurance Refund Specialist job openings:
What states have the most Insurance Refund Specialist jobs?
States with the most job openings for Insurance Refund Specialist jobs include:
What job categories do people searching Insurance Refund Specialist jobs look for?
The top searched job categories for Insurance Refund Specialist jobs are:
Full-time
Re-posted 13 days ago
Beaufort Memorial Hospital rating
6.4
Based on 21 frontline employees who took The Breakroom Quiz
748th of 1,065 rated hospitals
Job 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. .
What Beaufort Memorial Hospital employees say
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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