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Remote Refund Specialist Jobs (NOW HIRING)

Amerita

Refund/Dispute Specialist / Remote

Englewood, CO · On-site +1

$18 - $21/hr

Our Company Amerita Overview The Refund/Dispute Specialist is responsible for processing incoming payer refund requests by researching to determine whether the refund is appropriate or a payer ...

Mindlance

Claims Associate - Consumer

$18.25 - $24.50/hr

Claims Associate - Consumer (VAIL Refund Specialist) Start Date: 08/17/26 End Date: 03/27/27 for ... The position is remote. We prefer they be on Eastern or Central time zone. No CA or NY hires please.

eTeam

Claims Associate - Consumer

$18.25 - $24.50/hr

Claims Associate - Consumer (VAIL Refund Specialist) Location: Remote Duration: 7 Months contract with possibility of extension PRIMARY PURPOSE: Starting Monday August 17th, 2026 Monday through ...

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How much do remote refund specialist jobs pay per hour?

As of Jul 26, 2026, the average hourly pay for remote 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 are the key skills and qualifications needed to thrive as a Remote Refund Specialist, and why are they important?

To thrive as a Remote Refund Specialist, you need strong attention to detail, problem-solving abilities, and experience in customer service or finance, often supported by a high school diploma or equivalent. Familiarity with CRM systems, payment processing platforms, and ticketing tools is typically required. Excellent communication, patience, and time management skills help you handle customer inquiries and resolve issues efficiently. These skills ensure accurate and timely refund processing, maintain customer satisfaction, and support smooth remote operations.

What is a Remote Refund Specialist?

A Remote Refund Specialist is a professional who processes and manages customer refund requests for a company while working from a remote location. Their responsibilities typically include reviewing refund claims, verifying transactions, communicating with customers to resolve issues, and ensuring that refunds are issued accurately and in a timely manner. They may also coordinate with other departments, such as customer service or finance, to resolve discrepancies. This role requires strong attention to detail, communication skills, and familiarity with the company's refund policies and payment systems.

What are some typical challenges faced by Remote Refund Specialists, and how can they be managed effectively?

Remote Refund Specialists often navigate challenges such as handling high volumes of refund requests, dealing with upset customers, and ensuring accurate documentation across digital platforms. To manage these effectively, it's important to maintain strong organizational skills, practice empathy in customer interactions, and stay updated on company policies and refund procedures. Collaboration with other departments, such as customer service and finance, is also essential to resolve complex cases efficiently and provide a positive customer experience.
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Remote Refund Specialist jobs near you
Infographic showing various Remote Refund Specialist job openings in the United States as of July 2026, with employment types broken down into 3% Locum Tenens, 64% Full Time, 29% Part Time, and 4% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $50,041 per year, or $24.1 per hour.
Refund Specialist- REMOTE - (Must Reside in FL)

Refund Specialist- REMOTE - (Must Reside in FL)

Florida Orthopaedic Institute

Tallahassee, FL • On-site, Remote

Full-time

Posted 25 days ago

Florida Orthopaedic Institute rating

8.7

Company rating: 8.7 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Job Summary
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.

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