RCM Refund Specialist

This is a fully remote position, open to applicants in North Carolina.

📋 Description

• Process refunds for patients and their insurance providers.

• Examine credit transactions and investigate patient accounts for both patients and insurance companies.

• Confirm payment methods and retrieve remittance documents to ascertain actual credits.

• Adjust minor balances and manage the distribution of funds.

• Issue refund checks to patients.

• Prepare refund checks along with detailed reports for management's review and signature.

• Generate financial reports for accounting assessment.

• Prepare and dispatch checks.

• Organize and file relevant backup documentation.

• Handle returned refunds in collaboration with the accounting department and reach out to patients to resend refunds.

• Uphold patient confidentiality and adhere to HIPAA and practice compliance regulations.

• Stay informed about practice management and other software pertinent to job responsibilities.

• Attend mandatory training sessions and any requested meetings.

• Execute additional tasks assigned by the Director of Central Billing Services, Manager, Team Leader, or Supervisor.

• Follow departmental policies and report any policy breaches through the appropriate channels.

⛳️ Requirements

• High school diploma or an equivalent GED.

• Experience in healthcare or a related field is mandatory.

• One to three years of experience, ideally in a healthcare billing environment.

• Strong written and verbal communication skills.

• Competent computer skills, including proficiency in word processing and data entry.

• Capability to communicate professionally and effectively with management and colleagues.

• Detail-oriented, with the ability to identify errors and inconsistencies.

• Ability to work independently while maintaining focus on assigned tasks.

• Maintain patient confidentiality and comply with HIPAA and compliance guidelines.

• Moderate physical demands, including occasional lifting of approximately 20–30 pounds.

• Prolonged periods of sitting, along with some bending, stooping, and stretching.

• Good eye-hand coordination and manual dexterity necessary to operate keyboards, photocopiers, telephones, calculators, and other office equipment.

• Normal hearing and vision, correctable to a normal range.

🏝️ Benefits

• Occasional evening or weekend work required.

• Access to mandatory OSHA, HIPAA, and OIG training programs.

• Assigned training in AP, including CPR, OSHA, HIPAA, Compliance, and Information Security.