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Payment Resolution Refund Manager Jobs (NOW HIRING)

Trice Healthcare

Coding Payment Resolution Spec

Littleton, CO · On-site

$18.75 - $24/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Trice Healthcare

Coding Payment Resolution Spec

Pratt, KS · On-site

$15.50 - $19.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Trice Healthcare

Coding Payment Resolution Spec

Bottineau, ND · On-site

$19 - $24.25/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Trice Healthcare

Coding Payment Resolution Spec

Sitka, AK · On-site

$22.50 - $29/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Trice Healthcare

Coding Payment Resolution Spec

Farmington, NY · On-site

$18.50 - $23.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Trice Healthcare

Coding Payment Resolution Spec

Richmond, VA · On-site

$18.50 - $23.75/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Trice Healthcare

Coding Payment Resolution Spec

York, NE · On-site

$18.50 - $23.50/hr

Coding Payment Resolution Specialist Responsible for reviewing all post-billed denials (inclusive ... company, managed care organization or other health care financial service setting, performing ...

Platinumlist

Payments & Refunds Specialist

You work to a written procedure, with a Finance Manager who approves anything above a set limit and ... Check each refund request against a checklist: order located, original payment confirmed, amount ...

UPMC Altoona

Refund Specialist

Pittsburgh, PA · On-site

... M or email, are processed within 3 business days. * Identify and take action towards resolution of credit accounts through potential refunds, adjustments, payment transfers, etc. Adhere to the Fair ...

New

Corporate Revenue Cycle

Refund Specialist

Pittsburgh, PA · On-site

... M or email, are processed within 3 business days. * Identify and take action towards resolution of credit accounts through potential refunds, adjustments, payment transfers, etc. Adhere to the Fair ...

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Payment Resolution Refund Manager information

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How much do payment resolution refund manager jobs pay per year?

As of Sep 14, 2026, the average yearly pay for payment resolution refund manager in the United States is $74,611.00, according to ZipRecruiter salary data. Most workers in this role earn between $59,500.00 and $87,500.00 per year, depending on experience, location, and employer.

What are popular job titles related to Payment Resolution Refund Manager jobs?

For Payment Resolution Refund Manager jobs, the most frequently searched job titles are:

Coding Payment Resolution Spec

Littleton, CO • On-site

Trice Healthcare
See more jobs at Trice Healthcareexternal

$18.75 - $24/hr

Other

Re-posted 17 days ago

Job description

Coding Payment Resolution Specialist

Responsible for reviewing all post-billed denials (inclusive of coding-related denials) for coding accuracy and appealing them based upon coding expertise and judgment within the Hospital and/or Medical Group revenue operations of a Patient Business Services center.

Serves as part of a team of coding payment resolution colleagues at a PBS location responsible for identifying and determining root causes of denials.

Responsible for leveraging coding knowledge and standard procedures to track appeals through first, second, and subsequent levels, and ensuring timely filing of appeals as required by payers. In addition to promoting departmental awareness of coding best practices.

This position reports directly to the Supervisor Clinical/Coding Payment Resolution.

Essential Functions

  • Knows, understands, incorporates, and demonstrates the Client Mission, Vision, and Values in behaviors, practices, and decisions.
  • Provides detailed understanding or aptitude for resolving denials based on ICD-10-CM diagnosis codes, ICD-10-PCS codes, and CPT-4 procedural codes for UB-04 outpatient or inpatient claims, or other coding reasons and processing charge corrections based on medical record reviews, contracts, regulations as directed by the Supervisor Clinical / Coding Payment Resolution.
  • Interprets data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review.
  • Takes initiative to continuously learn all aspects of Payment Resolution Specialist role to support progressive responsibility.
  • Other duties as needed and assigned by the Supervisor Clinical / Coding Payment Resolution.
  • Maintains a working knowledge of applicable Federal, State and local laws/regulations; the Client and Compliance Program and Code of Conduct; as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

Minimum Qualifications

  • High school diploma or Associate degree in Accounting or Business Administration or related field, and a minimum of four (4) years' experience within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred.
  • Must possess comprehensive knowledge of professional/physician diagnostic and procedural coding, as normally obtained through a coding certificate program and least one (1) year of physician/professional or hospital outpatient coding experience or minimum of two (2) years of relevant hospital inpatient coding experience including DRG assignment.
  • Must be a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or coding credential of a Certified Coding Specialist (CCS) or Certified Professional Coder (CPC).
  • Must have experience with National Correct Coding Initiative edits (NCCI), National Coverage Determinations (NCD), Local Coverage Determinations (LCD), and Outpatient coding guidelines for official coding and reporting.
  • Possesses detailed understanding of principles, methods, and techniques related to compliant healthcare billing/collections.
  • Possesses expertise in medical terminology, disease processes, patient health record content and the medical record coding process.
  • Must be comfortable operating in a collaborative, shared leadership environment.
  • Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Client.

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