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Insurance Refund Specialist Jobs (NOW HIRING)

Allergy Partners

RCM Refund Specialist

RCM Refund Specialist Fully Remote • 95-00-Corporate - Asheville, NC 28803 Processing of patient ... Determine if there is a true credit for patient or Insurance by verifying payment method and ...

PeaceHealth

Refund Specialist

Vancouver, WA · On-site

$19.62 - $29.44/hr

Refund Specialist - HB/PB Cash Postings & Credits | PeaceHealth Part-Time | 0.50 FTE | Day Shift ... Review patient and insurance credit balances to determine the correct resolution. * Research ...

PeaceHealth

Refund Specialist

Vancouver, WA · On-site +1

$19.62 - $29.44/hr

Description Refund Specialist - HB/PB Cash Postings & Credits | PeaceHealth Part-Time | 0.50 FTE ... Review patient and insurance credit balances to determine the correct resolution. * Research ...

Northside Hospital Inc.

Refund Specialist

Atlanta, GA · On-site

Responsibilities Processes payor correspondence and refund requests through extensive phone, fax ... Qualifications REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of ...

FFAM Stafing

Refund Specialist

Greenville, NC · On-site

Review credits to determine if a refund is due to insurance. * Review credits to determine if a refund is due to the patient. * Understand how to read an Explanation of Benefits (EOB). * Understand ...

FFAM 360 Staffing

Refund Specialist

Greenville, NC · On-site

Review credits to determine if a refund is due to insurance. * Review credits to determine if a refund is due to the patient. * Understand how to read an Explanation of Benefits (EOB). * Understand ...

Northside Hospital Inc.

Refund Specialist

Atlanta, GA · On-site

Processes payor correspondence and refund requests through extensive phone, fax, and written ... REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of customer service ...

Northside Hospital Inc.

Refund Specialist

Atlanta, GA · On-site

Responsibilities Processes payor correspondence and refund requests through extensive phone, fax ... Qualifications REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of ...

Northside Hospital Inc.

Refund Specialist

Atlanta, GA · On-site

Responsibilities Processes payor correspondence and refund requests through extensive phone, fax ... Qualifications REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of ...

Northside Hospital Inc.

Refund Specialist

Atlanta, GA · On-site

Responsibilities Processes payor correspondence and refund requests through extensive phone, fax ... Qualifications REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of ...

Allergy Partners

RCM Refund Specialist

Processing of patient and insurance refunds. Responsibilities include, but are not limited to, the following: * Review credits and research patient accounts for both Patient and Insurance. Determine ...

Allergy Partners

RCM Refund Specialist

Asheville, NC · On-site +1

Processing of patient and insurance refunds. Responsibilities include, but are not limited to, the following: * Review credits and research patient accounts for both Patient and Insurance. Determine ...

ALLERGY PARTNERS

RCM Refund Specialist

Asheville, NC · On-site

Processing of patient and insurance refunds. Responsibilities include, but are not limited to, the following: * Review credits and research patient accounts for both Patient and Insurance. Determine ...

Addison Group

Refunds Specialist

Charlotte, NC · On-site

$21 - $28/hr

Refunds Specialist Location: Charlotte, NC Compensation: $21.00 - $28.00 per hour Benefits: This ... determine appropriate refund actions * Process refunds to patients and insurance carriers ...

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Insurance Refund Specialist information

See salary details

$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?

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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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?

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The top searched job categories for Insurance Refund Specialist jobs are:

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, 72% Full Time, 22% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $50,041 per year, or $24.1 per hour.

REFUND SPECIALIST

Mt. Washington Pediatric Hospital

Baltimore, MD • On-site

Full-time

Re-posted 6 days ago

Mt. Washington Pediatric Hospital rating

7.8

Company rating: 7.8 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

200th of 1,065 rated hospitals

Job description

REFUND SPECIALIST

JOB SUMMARY

  • General Summary: Responsible for the identifying and processing of all insurance and patient credit balances for resolution. Refunds will be appropriately investigated and processed following proper accounting methods and established procedures. The Refund Specialist will interact with physicians, administration, clinical, accounting and staff personnel to resolve credit balance issues.

    Principal Duties and Responsibilities:

    • Procedural Knowledge
    • Responsible for the resolution of credit balances for insurance and patient balances
    • Initiate refunds, offsets, and adjustments
    • Exchanges information with individuals outside the assigned department or institution
    • Ability to analyze, research and answers refund questions.
    • Responsible for the reconciliation of refunds to the Expanse billing system
    • Interacts closely with the Patient Accounting staff when refund/balance problems occur.
    • Maintain supporting chronological notes that detail action taken to resolve outstanding account balances
    • Follow liability policies and established workflows
    • Assists with payment posting and month-end closing.

    POSITION REQUIREMENTS

    Educational Requirements

    High School Diploma or GED

    Licensure, Certification and Registration

    NA

    Work Orientation and Experience

    3 years prior experience in hospital collections. Strong payer knowledge base. Extremely accurate with figures and data entry.

    Knowledge, Skills and Abilities

    Strong analytical skill a must.

    Must be able to work unsupervised.

    Must be able to work with a calculator, PC and Excel, Outlook and Word

    Ability to multitask and remain focused in a fast paced environment

    All other duties as assigned or requested

    Other Requirements Specific to Assigned Area

    REPORTING RELATIONSHIPS

    Supervision Received

    Patient Accounting Manager. Patient Accounting Director.

    Supervision Exercised

    NA

    INTERPERSONAL RELATIONSHIPS

    Communicates daily in person or by telephone with hospital staff and insurance companies. Must also be able to

    handle sensitive situations in a professional manner.

    TOOLS/EQUIPMENT USED

    Calculator, Facsimile machine, PC, Telephone, Internet, Copy machine, Printer.

    PHYSICAL ENVIRONMENT/WORKING CONDITIONS

    Typical health care environment, stress due to multiple demands, shifting priorities and tight timeframes. Little or no risk of exposure to body fluids, infectious waste or blood borne disease.

    This job description identifies the general nature and level of work to be performed. It is not to be considered an exhaustive list of responsibilities, duties or skills required of an incumbent.

Revised 3/3/20

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