Refund Specialist

🔥 2 hours ago

🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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NMA (Neuromonitoring Associates)

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2006

🏥 Healthcare

🤝 B2B

☁️ SaaS

Healthcare • B2B • SaaS

NMA (Neuromonitoring Associates) is a Joint Commission–accredited provider of Intraoperative Neuromonitoring (IONM) services that partners with surgeons and hospitals across the United States to improve patient safety and outcomes. The company combines clinically trained technicians, remote physician oversight, and a proprietary A. M. P. platform to deliver real-time monitoring data in the operating room, claiming substantial reductions in complications and broad coverage in multiple states. NMA emphasizes quality, staff training, and a patient-first culture while offering a technology-enabled service model to hospitals, surgeons, and patients.

📋 Description

• Investigate and validate insurance and patient refund requests for legitimacy, accuracy, and compliance • Review account histories, payment records, EOBs, claims documentation, and payer correspondence • Process approved refunds and maintain complete supporting documentation • Document findings, account activity, communications, and refund resolutions in appropriate systems • Coordinate with patients, insurance carriers, patient advocates, and internal stakeholders • Investigate insurance recoupments, take-backs, and overpayment recovery requests • Determine whether recoupments should be accepted, disputed, or appealed • Escalate questionable reimbursement activity, unsupported overpayment requests, and high-risk payer actions • Review complex recoupment scenarios beyond standard payment posting activities • Participate in Clinical Support, Audit, and Ticket programs • Track and report refund requests, recoupments, payer recoveries, and reimbursement trends • Analyze payer behaviors, claim types, procedures, coding patterns, and reimbursement issues to identify root causes • Provide reporting and recommendations to leadership to reduce revenue loss and improve financial outcomes • Partner with Cash Posting, Accounts Receivable, Coding, and Revenue Cycle leadership on process improvements and corrective actions • Develop best practices, workflows, and operational strategies for refund management and payer accountability • Maintain audit trails and supporting documentation for refund and recoupment activity • Ensure compliance with HIPAA, payer requirements, company policies, and internal financial controls • Collaborate with the Cash Application Team Lead and Revenue Cycle stakeholders • Perform additional duties and special projects as assigned

🎯 Requirements

• High School Diploma or GED required • Bachelor's degree preferred • Minimum of three (3) years of medical accounts receivable, revenue cycle, refunds, payment posting, or related healthcare reimbursement experience required • Experience investigating insurance claims, overpayments, refunds, denials, appeals, or recoupments preferred • Strong understanding of medical billing, claims processing, and payer reimbursement methodologies • Strong knowledge of healthcare revenue cycle operations, including accounts receivable, insurance reimbursement, claim adjudication, and complex refund and recoupment issues • Strong analytical skills with the ability to research payer activity, interpret EOBs, review claims, identify root causes, and recommend reimbursement strategies • Proficiency in CPT, ICD-10, and HCPCS coding concepts, Microsoft Office, payer portals, healthcare billing systems, and documentation tools • Excellent communication and collaboration skills • Strong attention to detail and ability to manage priorities in a fast-paced environment • Ability to manage stress and maintain productivity under tight deadlines and changing priorities • Ability to maintain a stationary position for extended periods • Must be able to lift and/or move up to 50 pounds occasionally

🏖️ Benefits

• Fully remote work arrangement • Occasional travel for company meetings • Standard business hours with occasional overtime to meet project deadlines