Medical Refund Specialist

US-TX-The Woodlands
2 weeks ago
Emerus Holdings Inc
Shift Type

About Us

Emerus is a nationally recognized, innovative leader in the delivery of inpatient, surgical, and diagnostic medical health care. Specializing in the identification, development and management of improved-access community medical facilities, Emerus provides cost effective, scalable growth opportunities to large-scale, national health care systems throughout the United States. 


By providing operationally efficient facilities and focused alignment with current health care trends, Emerus’ community-based hospitals prioritize limited inpatient stays, efficient emergency rooms and cost effective pricing in a smaller campus setting. Based in The Woodlands, Texas, Emerus has more than 1,000 employees, with expert concentrations in over 20 different fields throughout the medical industry.

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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