Refund Specialist

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🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $16 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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USACS

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2010

💼 Consulting

📦 Logistics

📣 Marketing

Consulting • Logistics • Marketing

USACS is the Undergraduate Student Alliance of Computer Scientists at Rutgers University that organizes events and runs collaborative spaces for computer science students. It maintains resources such as the Coding and Social Lounge (CSL), a Linux-station Command Center, a Hackerspace with 3D printers, robotics, and Oculus Rifts, and a Makerspace for hands-on hardware projects. USACS helps students get involved outside the classroom through workshops, social events, and access to tools and facilities for building hardware and software projects.

📋 Description

• Research patient accounts to identify and resolve overpayments. • Verify payment application details for accuracy. • Analyze internal deposit and payment batches to trace deposit origins and detect duplicate postings. • Use Cedar Patient Portal to confirm payment information and initiate refunds. • Correct posting discrepancies in the Athena Billing System. • Enter cases and document corrections within the Athena system. • Perform guarantor account adjustments and process refunds. • Ensure claims are adjudicated correctly by understanding payer-side claim processes in Athena. • Maintain comprehensive system notations for communication and activity tracking. • Initiate refunds through Cedar Patient Portal or Athena Billing System. • Execute refund check processes, including reissue, void, and returned checks. • Maintain backup documentation for adjusted and refunded accounts for audit readiness. • Communicate with coworkers, management, third-party payors, and patients. • Assist with additional departmental duties as assigned.

🎯 Requirements

• High school diploma or equivalent required. • Minimum of two years combined experience in medical insurance, payment processing, or insurance follow-up preferred. • Experience with Insurance Websites/Portals/Overpayment Forms required. • Strong knowledge of Coordination of Benefits including Government and Commercial Carriers required. • Proficient in review of Explanation of Benefits and Posting required. • Strong knowledge in Payer initiated recoupments required. • Experience with AthenaOne Billing System is preferred but not mandatory. • In-depth knowledge of payment processing functions, medical insurance, government payors, and related terminology. • Proficiency in using personal computers within a Windows environment, including spreadsheet applications and data entry tools. • Strong attention to detail and excellent problem-solving skills. • Effective verbal and written communication skills, maintaining professionalism and confidentiality. • Ability to organize workload, manage multiple tasks, and adapt to changing priorities. • Willingness and ability to work overtime as needed. • Ability to sit for extended periods; occasional walking, standing, bending, stooping, and lifting up to 15 pounds. • Must have close visual acuity to perform job duties accurately.

🏖️ Benefits

• Medical, dental, and vision insurance options • Health savings accounts (HSA) and flexible spending accounts (FSA) • 401(k) employee and employer contributions • Paid time off, including vacation, sick leave, and company holidays • Paid parental leave & family support benefits • Short-term and long-term disability insurance • Life and accidental death & dismemberment (AD&D) insurance • Employee assistance programs & wellness resources • Bonus eligibility, equity, or other incentive programs, depending on the role