The Refund Specialist works collaboratively across departments to identify trends, recover funds that may otherwise be refunded incorrectly, and support overall revenue integrity. Key ...
The Refund Specialist works collaboratively across departments to identify trends, recover funds that may otherwise be refunded incorrectly, and support overall revenue integrity. Key ...
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Insurance Refund Specialist
Lauderdale Lakes, FL · On-site
$26/hr
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Insurance Refund Specialist
Lauderdale Lakes, FL · On-site
$26/hr
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Insurance Refund Specialist
Lauderdale Lakes, FL · On-site
$26/hr
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Insurance Refund Specialist
Lauderdale Lakes, FL · On-site
$26/hr
Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...
Credit Balance Refund Clerk
Miami Beach, FL · Hybrid
$16.25 - $21.25/hr
Credit Balance-Refund Clerk II - Collector Hybrid Remote after 90 day training in house - Base salary plus bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949 ...
Credit Balance Refund Clerk
Miami Beach, FL · Hybrid
$16.25 - $21.25/hr
Credit Balance-Refund Clerk II - Collector Hybrid Remote after 90 day training in house - Base salary plus bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949 ...
Credit Balance Refund Clerk
Miami Beach, FL · On-site
$16.25 - $21.25/hr
Credit Balance-Refund Clerk II - Collector Hybrid Remote after 90 day training in house - Base salary plus bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949 ...
Credit Balance Refund Clerk
Miami Beach, FL · On-site
$16.25 - $21.25/hr
Credit Balance-Refund Clerk II - Collector Hybrid Remote after 90 day training in house - Base salary plus bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949 ...
PRI-Refunds Representative
$31K - $36K/yr
Review all internal and external refund requests to accurately identify if an overpayment was made and/or if a refund is due to the payer and/or patient * Complete the necessary forms and/paperwork ...
PRI-Refunds Representative
$31K - $36K/yr
Review all internal and external refund requests to accurately identify if an overpayment was made and/or if a refund is due to the payer and/or patient * Complete the necessary forms and/paperwork ...
Reviews incoming refund requests, via mail or fax from insurance or audit companies, for validity and responds appropriately. * Sends any necessary adjustments, posting corrections or payment ...
Reviews incoming refund requests, via mail or fax from insurance or audit companies, for validity and responds appropriately. * Sends any necessary adjustments, posting corrections or payment ...
Reviews incoming refund requests, via mail or fax from insurance or audit companies, for validity and responds appropriately. * Sends any necessary adjustments, posting corrections or payment ...
Reviews incoming refund requests, via mail or fax from insurance or audit companies, for validity and responds appropriately. * Sends any necessary adjustments, posting corrections or payment ...
First Impressions Sales Specialist
$11 - $20/hr
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
Quick apply
First Impressions Sales Specialist
$11 - $20/hr
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
First Impressions Sales Specialist
$11 - $20/hr
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
Quick apply
First Impressions Sales Specialist
$11 - $20/hr
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
First Impressions Sales Specialist
$11 - $20/hr
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
Quick apply
First Impressions Sales Specialist
$11 - $20/hr
We are looking for career-minded, enthusiastic leaders who want to LOVE where they work and create an Exciting, Profitable Path to Success. Evening and weekend availability are required. Previous ...
Student Account Analyst - VA Specialist
$18 - $24.75/hr
The VA Specialist is responsible for auditing and processing all VA refunds in these essentials areas: Veterans Affairs (VA) and Vocational Rehabilitation (VOC) refunds for active and inactive ...
Student Account Analyst - VA Specialist
$18 - $24.75/hr
The VA Specialist is responsible for auditing and processing all VA refunds in these essentials areas: Veterans Affairs (VA) and Vocational Rehabilitation (VOC) refunds for active and inactive ...
Student Account Analyst - VA Specialist
Fort Lauderdale, FL · On-site
$18 - $24.75/hr
The VA Specialist is responsible for auditing and processing all VA refunds in these essentials areas: Veterans Affairs (VA) and Vocational Rehabilitation (VOC) refunds for active and inactive ...
Quick apply
Student Account Analyst - VA Specialist
Fort Lauderdale, FL · On-site
$18 - $24.75/hr
The VA Specialist is responsible for auditing and processing all VA refunds in these essentials areas: Veterans Affairs (VA) and Vocational Rehabilitation (VOC) refunds for active and inactive ...
Student Account Analyst - VA Specialist
Fort Lauderdale, FL · On-site
$18 - $24.75/hr
The VA Specialist is responsible for auditing and processing all VA refunds in these essentials areas: Veterans Affairs (VA) and Vocational Rehabilitation (VOC) refunds for active and inactive ...
Student Account Analyst - VA Specialist
Fort Lauderdale, FL · On-site
$18 - $24.75/hr
The VA Specialist is responsible for auditing and processing all VA refunds in these essentials areas: Veterans Affairs (VA) and Vocational Rehabilitation (VOC) refunds for active and inactive ...
Execute and validate complex refund batch files across multiple systems prior to bank transmission and leadership approval. * Post and reconcile electronic, mailed, and credit card payments, ensuring ...
Execute and validate complex refund batch files across multiple systems prior to bank transmission and leadership approval. * Post and reconcile electronic, mailed, and credit card payments, ensuring ...
Process Specialist
Daytona Beach, FL · On-site
Execute and validate complex refund batch files across multiple systems prior to bank transmission and leadership approval. * Post and reconcile electronic, mailed, and credit card payments, ensuring ...
Process Specialist
Daytona Beach, FL · On-site
Execute and validate complex refund batch files across multiple systems prior to bank transmission and leadership approval. * Post and reconcile electronic, mailed, and credit card payments, ensuring ...
Process Specialist
Daytona Beach, FL · On-site
Execute and validate complex refund batch files across multiple systems prior to bank transmission and leadership approval. * Post and reconcile electronic, mailed, and credit card payments, ensuring ...
Process Specialist
Daytona Beach, FL · On-site
Execute and validate complex refund batch files across multiple systems prior to bank transmission and leadership approval. * Post and reconcile electronic, mailed, and credit card payments, ensuring ...
Refund information
See Florida salary details
$11.68 - $13.11
15% of jobs
$13.94 is the 25th percentile. Wages below this are outliers.
$13.11 - $14.55
18% of jobs
The median wage is $15.63 / hr.
$14.55 - $15.99
23% of jobs
$15.99 - $17.42
13% of jobs
$17.42 - $18.86
3% of jobs
$18.86 - $20.30
3% of jobs
$20.39 is the 75th percentile. Wages above this are outliers.
$20.30 - $21.74
4% of jobs
$21.74 - $23.17
2% of jobs
$23.17 - $24.61
3% of jobs
$24.61 - $26.05
13% of jobs
$26.05 - $27.48
3% of jobs
$11
$17
$27
How much do refund jobs pay per hour?
What jobs pay 2000 a day?
What is a refund job description?
What is the difference between Refund vs Reimbursement?
| Aspect | Refund | Reimbursement |
|---|---|---|
| Definition | Money returned to a customer or client due to a product or service issue. | Repayment of expenses incurred by an employee or individual, often by an employer or organization. |
| Common Usage | Customer service, retail, online sales | Business expenses, travel, employee reimbursements |
| Required Credentials | None specific, but customer service skills helpful | Receipts, expense reports, approval processes |
| Work Environment | Retail stores, customer service centers, online platforms | Office settings, business trips, expense management departments |
In summary, a Refund involves returning money to a customer due to a product or service issue, while Reimbursement pertains to repaying expenses incurred by employees or individuals. Both processes involve financial transactions but serve different purposes within business operations.
What are some common challenges faced by professionals working in refund processing, and how can they be managed?
How to make 2000 a week working from home?
What are refund specialists?
What are the key skills and qualifications needed to thrive as a Refund Specialist, and why are they important?
What job makes $10,000 a month without a degree?
Refund Specialist- REMOTE - (Must Reside in FL)
Florida Orthopaedic InstituteTallahassee, FL • On-site, Remote
Full-time
Posted 13 days ago
Florida Orthopaedic Institute rating
8.7
Based on 6 frontline employees who took The Breakroom Quiz
Job description
The Refund Specialist is responsible for researching patient accounts across all refund types to determine whether payments have been correctly applied and if a refund is warranted. This role involves detailed review of insurance payments, explanation of benefits (EOBs), and account activity to ensure accurate resolution of credit balances while maintaining compliance with payer guidelines, regulatory requirements, and internal policies. The Refund Specialist works collaboratively across departments to identify trends, recover funds that may otherwise be refunded incorrectly, and support overall revenue integrity.
Key Responsibilities
- Review and analyze patient account activity to determine appropriate refund actions.
- Review explanation of benefits (EOBs) related to refund requests, overpayments, recoupments, and forward balances.
- Apply patient payment transfers, charge corrections, contractual adjustments, and refunds accurately.
- Work all payments daily and ensure monies are applied correctly.
- Resolve credit balances through refunds, adjustments, transfers, or other appropriate actions.
- Contact insurance payers to obtain additional information regarding coordination of benefits, contractual adjustments, and patient responsibility.
- Apply federal and state prompt payment regulations to validate or invalidate insurance refund requests when applicable.
- Identify payment variances, underpayments, recovery opportunities and communicate findings to leadership.
- Identify payer trends or workflow issues contributing to credit balances and notify management.
- Ensure all validated government payer refund requests are processed within required payer guidelines.
- Maintain daily, weekly, and monthly quantitative and qualitative production standards.
- Coordinate work assignments with peers to ensure timely completion of departmental responsibilities.
- Communicate effectively with Business Office staff, leadership, and affiliated departments to fulfill information requests.
- Respond to emails from Business Office, leadership, and assigned cases within 48 hours.
- Perform all duties in compliance with Medicare, federal, state, contractual agreements, and OSM internal policies.
- Maintain strict confidentiality of PHI and always comply with HIPAA regulations.
- All other duties as assigned
Education and Experience
- High School Diploma or equivalent required; college coursework or degree preferred.
- Minimum of 3-5 years of experience in medical reimbursement, healthcare insurance collections, patient accounting, medical collections, or a similar role within a medical or physician practice.
- Minimum of 3-5 years of experience resolving credit balances, performing account reconciliation, processing refunds, identifying variances, and analyzing payment trends.
- Strong experience collecting payments from insurance carriers required.
- Experience as a payment poster preferred but not required.
Preferred qualifications & skills
- Strong understanding of medical terminology, CPT/HCPCS procedure codes, ICD diagnosis codes, and insurance terminology.
- Knowledge of payer reimbursement methodologies and contract language, including Medicare, Medicaid, Workers' Compensation, Managed Care, exclusions, case rates, percentages of charges, and fee schedules.
- Experience in orthopedic healthcare reimbursement highly preferred.
- Proficiency in interpreting explanation of benefits (EOBs) and tracing payer offsets, recoupments, and forward balances.
- Proficiency with EMR/EHR systems and the Microsoft Office Suite; basic Microsoft Excel skills required.
- Knowledge of basic accounting and mathematical principles, including the ability to calculate reimbursements and refund amounts.
- Strong written and verbal communication skills with the ability to interact professionally across departments and with external payers.
- Excellent attention to detail and a high level of accuracy.
- Strong organizational and time-management skills with the ability to prioritize work, multitask, and adapt to change.
- Ability to work independently while collaborating effectively with team members.
- Exercises discretion, sound judgment, and professionalism in all business relationships.
Orthopaedic Solutions Management is a Drug Free Workplace
We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
About Florida Orthopaedic Institute
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
11 - 50 Employees
Headquarters location
Temple Terrace, FL, US
Year founded
1989