Refund Specialist

Refund Specialist page is loaded## Refund Specialist remote type:
Remote and Onsite locations:
Grand Forks, NDtime type:
Full time posted on:
Posted Todayjob requisition : R7168
** Everything we do is underscored by a why — and that why is one another.
***
* Location:

** Altru Health System

PO Box 6002

Grand Forks, ND 58201

Pay Range: $17.07 - $25.60
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* Summary:

** The Refund Specialist supports clinic and hospital Business Office staff by processing refunds and distributing insurance payments or adjustments. The Specialist manages accounts through the entire revenue cycle, ensuring accurate payments and securing required medical documentation. The specialist tracks over payment claims, resolves credit balances, and manages payment work queues.
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* Essential Job Functions:

*** Reviews and processes insurance over payments and credit balances, initiating refunds and clearing account work queues.
* Assists Business Office staff in refunding or distributing insurance payments and reversing adjustments when appropriate.
* Approves insurance refund requests from the refund/credit work queue.
* Determines refund method (paper check or electronic) based on insurance requirements, retrieves Explanation of Benefits (EOBs), scans refund requests, and mails paper checks with EOBs.
* Assesses late charges and credits, cancels claims from the liability bucket, and adds Insurance Control Numbers from previous EOBs.
* Stays current on state and federal billing requirements and updates relevant departments to ensure compliance.
* Communicates with payers and staff to resolve refund-related issues and ensure timely claim payment processing.
* Performs other duties as assigned or needed to meet the needs of the department/organization.
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* Education:

**### ###
• Preferred:
Associates - Business
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* Work Experience:

*
* •

Required:

A minimum of 1 year Related Experience
** Language Requirements:
** This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
** Physical Demands :*
* • Sit:
Frequently (34-66%)### ###
• Stand:
Occasionally (5-33%)### ###
• Walk:
Occasionally (5-33%)### ###
• Stoop/Bend:
Occasionally (5-33%)### ###
• Reach:
Frequently (34-66%)### ###
• Crawl:
Not Applicable### ###
• Squat/Crouch/Kneel:
Occasionally (5-33%)### ###
• Twist:
Occasionally (5-33%)### ###
• Handle/Finger/Feel:
Continuously (67-100%)### ###
• See:
Continuously (67-100%)### ###
• Hear:
Continuously (67-100%)
** Weight Demands:*
* • Lift
-Floor to Waist Level: Sedentary (