Refund Specialist

🕒 August 5

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $16 - $30 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 55%

What it means: the chance that no one is really hiring for this job.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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US Acute Care Solutions

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2015

🏥 Healthcare

💊 Pharmaceuticals

📡 Telecommunications

💰 Private Equity Round on 2021-02

Healthcare • Pharmaceuticals • Telecommunications

US Acute Care Solutions is a physician-owned company specializing in the management and provision of acute care services across the United States. With a focus on emergency medicine, hospital medicine, and critical care, USACS partners with health systems to enhance patient care and improve the healthcare continuum. Annually, the company serves over 10 million patients and operates more than 500 clinical programs in 30 states, driven by a commitment to innovation, quality, and collaborative healthcare delivery.

📋 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 in Athena • 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 account tracking • Process refund checks, 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 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 • Must have close visual acuity to perform job duties accurately • Ability to sit for extended periods; occasional walking, standing, bending, stooping, and lifting up to 15 pounds

🏖️ 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

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