Refund Specialist III - Remote
US Anesthesia Partners · United States
- Hybrid
- Full-time
- $62,208 / year
- United States
Job highlights
- Validate and track insurance/patient credits.
- Analyze accounts for refund eligibility.
- Resolve overpayments with government/commercial payers.
- Identify process improvements and reduce rework.
- Maintain HIPAA patient confidentiality standards.
About the role
Refund Specialist III - Remote
Overview
The Refund Specialist III validates and tracks credits due to insurance companies, patients, and other payers. The incumbent of this role is responsible for understanding payor contracts and preparing refund requests. This role may also be assigned to post payments and perform essential cash management duties.At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.
The base pay estimate for this role is $19.95 - $31.92 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.
Job Highlights
ESSENTIAL DUTIES AND RESPONSIBILITIES (Included But Not Limited To)
- Maintains and processes assigned work queue items accurately and within established timelines.
- Analyzes account activity to determine refund eligibility and ensure correct payment handling.
- Works with both government and commercial payers to resolve overpayments.
- Collaborates with internal teams to resolve complex refund-related issues.
- Identifies trends, potential process improvements, and opportunities to reduce rework.
- Reviews and resolves charge corrected and non-charge corrected invoices.
- Submits overpayment requests in payer portals.
- Prepares Refund Request Forms and supporting documentation regarding refund checks.
- Maintains HIPAA patient confidentiality standards for medical and financial information.
- Meets or exceeds department KPIs and productivity targets.
- Performs all other duties as assigned.
Qualifications
Knowledge/Skills/Abilities (KSAs):
- High school diploma or equivalent required.
- 5+ years of medical billing experience required.
- Knowledge of medical terminology and computer literacy are required.
- Strong experience with payor contracts.
- 4+ years posting experience.
- Basic office skills required; advanced office skills preferred.
- Strong working knowledge of Excel.
- Strong communication skills both oral and written.
- Accurate data entry skills.
- Attention to detail a must.
- Ability to identify trends in underpayments/overpayments.
The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Occasional Standing
- Occasional Walking
- Frequent Sitting
- Frequent hand, finger movement
- Use office equipment (in office or remote)
- Communicate verbally and in writing
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
Key skills/competency
- Medical Billing
- Payor Contracts
- Refund Processing
- Overpayment Resolution
- Cash Management
- HIPAA Compliance
- Excel Proficiency
- Data Entry
- Trend Analysis
- Communication Skills
Skills & topics
- Refund Specialist
- Medical Billing
- Accounts Receivable
- Payment Posting
- Healthcare Finance
- Revenue Cycle
- Insurance Claims
- Overpayments
- Payer Contracts
- Remote Work
How to get hired
- Tailor your resume: Highlight your 5+ years of medical billing and 4+ years of posting experience. Emphasize your knowledge of payor contracts and Excel skills.
- Craft a strong application: Clearly articulate your ability to analyze accounts, resolve overpayments, and maintain confidentiality. Mention your attention to detail and accurate data entry skills.
- Prepare for interviews: Be ready to discuss your experience with medical terminology, payer portals, and identifying trends in under/overpayments. Showcase your strong communication skills.
- Demonstrate problem-solving: Highlight instances where you identified process improvements or resolved complex refund issues. Show how you met or exceeded productivity targets.
Technical preparation
Master Excel functions for data analysis.,Practice accurate data entry and verification.,Familiarize yourself with payer portals.,Review medical terminology and billing codes.
Behavioral questions
Describe a complex refund issue you resolved.,How do you prioritize and manage your workload?,How do you ensure attention to detail?,How do you handle confidential patient information?
Frequently asked questions
- What is the base pay for a Refund Specialist III at US Anesthesia Partners?
- The estimated base pay for this role ranges from $19.95 to $31.92 per hour. The final offer will be determined by your skills, experience, and qualifications. This range does not include potential bonuses.
- Are there any location restrictions for this remote Refund Specialist III role?
- Yes, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska for this position. You must reside outside of these states to be considered.
- What is the primary responsibility of a Refund Specialist III?
- The primary responsibility is to validate and track credits due to insurance companies, patients, and other payers, which involves understanding payor contracts and preparing refund requests.
- What specific experience is required for the Refund Specialist III position?
- A minimum of 5 years of medical billing experience and 4 years of posting experience are required. Strong experience with payor contracts and advanced Excel skills are also essential.
- Does this role involve any bonuses or additional compensation?
- Yes, this position is eligible for a quarterly bonus, which is awarded based on company and individual performance. However, bonuses are not guaranteed.
- What are the key technical skills needed for a Refund Specialist III?
- Key technical skills include strong working knowledge of Excel, accurate data entry, and proficiency with payer portals for submitting overpayment requests. Computer literacy and knowledge of medical terminology are also required.
- How does US Anesthesia Partners ensure employee well-being in a remote role?
- US Anesthesia Partners provides accommodations for individuals with disabilities to perform essential functions. The physical demands described are representative, and reasonable accommodations can be made for tasks like occasional standing/walking and frequent sitting, along with the use of office equipment.
- What is the importance of HIPAA compliance in this role?
- Maintaining HIPAA patient confidentiality standards for medical and financial information is a critical requirement for the Refund Specialist III role, ensuring the privacy and security of sensitive data.