Emerus

Medical Refund Specialist

Job Location US-Remote
Posted Date 2 weeks ago(3/19/2025 1:27 PM)
ID
2025-19950
Facility
Remote
Type
Full-Time
Shift Type
Days

About Us

HIGHLIGHTS

Location: Hybrid

Required Experience: Payment posting experience

Perks: Quarterly bonus, Medical/Dental/Vision Benefits, 401K matching up to 4%, PTO plan, tuition reimbursement

 

Please note: This is a hybrid position, with remote work 90% of the time. However, the role requires an in-person commute to the office in The Woodlands, TX once a month for meetings.

 

We are Emerus, the leader in small-format hospitals. We partner with respected and like-minded health systems who share our mission: To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. Rose Dominican, The Hospitals of Providence, INTEGRIS Health, MultiCare and WellSpan. Our innovative hospitals are fully accredited and provide highly individualized care. Emerus' commitment to patient care extends far beyond the confines of societal norms. We believe that every individual who walks through our doors deserves compassionate, comprehensive care, regardless of their background, identity, or circumstances. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

Position Overview

The purpose of this position is to assist in managing the company’s outstanding credit balances and to ensure that all balances are correct and refund requests are processed accurately and timely. 

Essential Job Functions

  • Review all documents submitted for refund processing for accuracy.
  • Reviews patient account to ensure refund request is appropriate and verifies no additional outstanding balances.
  • Ensure that submitted forms are completed and accurate.
  • Ensure changes to account balance have not been made from time of request to time of processing. 
  • Accurately note accounts with processing updates.
  • Accurately and timely post refunds to patient accounts.
  • Prepare checks for mailing to patients/payers.
  • Properly document account once refund has been posted
  • With the assistance of Accounts Payable, identifies and researches uncashed refund checks and contacts payers or patients if necessary
  • Works special projects as assigned by Supervisor/Director/CFO

Other Job Functions

  • Meet position’s goals and objectives related to accuracy
  • Attend staff meetings or other company sponsored or mandated meetings as required
  • Perform additional duties as assigned

Basic Qualifications

  • High School Diploma or GED, required
  • 2+ years experience in a health care setting, required
  • Knowledge of all payers insurance; self-pay after insurance, reimbursements, collections, appeals, claims follow-up and third party billing, required
  • Experience with medical records or patient accounting systems, required
  • Knowledge and understanding of healthcare ‘explanation of benefits’ (EOB’s), required
  • Excellent attention to detail
  • Proficient in Microsoft Office
  • Position requires fluency in English; written and oral communication

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