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 ...
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.
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.
Process refunds through Refund Manager and Phreesia, investigate monthly patient credit reports, and resolve outstanding credit balances. * Payment Posting & Reconciliation: Post transactions ...
Process refunds through Refund Manager and Phreesia, investigate monthly patient credit reports, and resolve outstanding credit balances. * Payment Posting & Reconciliation: Post transactions ...
Payment Integrity And Refund Specialist
Cerritos, CA · On-site
$22 - $28/hr
This position is responsible for ensuring accurate and compliant billing processes across Government, Commercial Health Plans, and Medical Group payers while managing claims resolution and refund ...
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Payment Integrity And Refund Specialist
Cerritos, CA · On-site
$22 - $28/hr
This position is responsible for ensuring accurate and compliant billing processes across Government, Commercial Health Plans, and Medical Group payers while managing claims resolution and refund ...
Accurately review and process all third party payor, collection agency, patient, and other payments. Review the accuracy of credit balance status and prepare the necessary documentation for refunds.
Accurately review and process all third party payor, collection agency, patient, and other payments. Review the accuracy of credit balance status and prepare the necessary documentation for refunds.
This position ensures accurate and timely refund processing while maintaining compliance with payer guidelines, regulatory requirements, and company policies. This role requires strong attention to ...
This position ensures accurate and timely refund processing while maintaining compliance with payer guidelines, regulatory requirements, and company policies. This role requires strong attention to ...
Overview Accurately review and process all third party payor, collection agency, patient, and other ... Process refunds/adjustments to the appropriate unit or clinic and reoccurring accounts. * Codes ...
Overview Accurately review and process all third party payor, collection agency, patient, and other ... Process refunds/adjustments to the appropriate unit or clinic and reoccurring accounts. * Codes ...
OverviewAccurately review and process all third party payor, collection agency, patient, and other ... Process refunds/adjustments to the appropriate unit or clinic and reoccurring accounts. * Codes ...
OverviewAccurately review and process all third party payor, collection agency, patient, and other ... Process refunds/adjustments to the appropriate unit or clinic and reoccurring accounts. * Codes ...
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
PATIENT REP IV-REFUND
Merrillville, IN · On-site
Overview Accurately review and process all third party payor, collection agency, patient, and other ... Process refunds/adjustments to the appropriate unit or clinic and reoccurring accounts. * Codes ...
PATIENT REP IV-REFUND
Merrillville, IN · On-site
Overview Accurately review and process all third party payor, collection agency, patient, and other ... Process refunds/adjustments to the appropriate unit or clinic and reoccurring accounts. * Codes ...
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
Insurance Refund Specialist
Lauderdale Lakes, FL · On-site
$26/hr
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
Insurance Refund Specialist
Lauderdale Lakes, FL · On-site
$26/hr
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
With our proprietary billing process, EBS is the oil that brings life to the engines of its partner ... Process refund requests in accordance with payer guidelines, organizational policies, and ...
Credit Balance Refund Clerk
Miami Beach, FL · Hybrid
$16.25 - $21.25/hr
Facilitate refund processing and communicate with Accounts Payable on an as-needed basis. * Checks the refund requests made by our vendors as needed. * Adjusts accounts accurately according to ...
Credit Balance Refund Clerk
Miami Beach, FL · Hybrid
$16.25 - $21.25/hr
Facilitate refund processing and communicate with Accounts Payable on an as-needed basis. * Checks the refund requests made by our vendors as needed. * Adjusts accounts accurately according to ...
Credit Balance Refund Clerk
Miami Beach, FL · On-site
$16.25 - $21.25/hr
Facilitate refund processing and communicate with Accounts Payable on an as-needed basis. * Checks the refund requests made by our vendors as needed. * Adjusts accounts accurately according to ...
Credit Balance Refund Clerk
Miami Beach, FL · On-site
$16.25 - $21.25/hr
Facilitate refund processing and communicate with Accounts Payable on an as-needed basis. * Checks the refund requests made by our vendors as needed. * Adjusts accounts accurately according to ...
Refund Specialist
Tarrytown, NY · On-site
$20 - $21/hr
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Refund Specialist
Tarrytown, NY · On-site
$20 - $21/hr
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Refund Specialist
Cherry Hill, NJ · On-site
$21/hr
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Refund Specialist
Cherry Hill, NJ · On-site
$21/hr
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Refund Specialist
$20 - $21/hr
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Refund Specialist
$20 - $21/hr
Processes refunds through Refund Manager * Process all patient credit card refunds through Phreesia * Works patient credit reports received by Department Manager monthly for investigation and ...
Refund Processing 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
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Beaufort Memorial Hospital rating
6.3
Based on 20 frontline employees who took The Breakroom Quiz
704th of 990 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. .
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About Beaufort Memorial Hospital
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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