Refund Specialist
1 week ago
Location: Hybrid role - one day a week onsite (Monday) at an office located in Southern Nashville, TN 37067 suburb. Remaining days working remotely. You may need to work on-site more during your initial training period or when others are on vacation. This would only be occasionally.
Hours: Monday - Friday, 8:00 am - 4:30 pm, CT.
Status: Full-time, benefit-eligible
Benefits: Nationwide plans for health, dental, vision, life Insurance, STD, LTD, accident insurance, critical illness, hospital indemnity, ID theft, travel insurance, and 401(k). Our benefit coverage begins the first of the month following your hire date.
Find out more about our culture and benefits at: https://strivanthealth.com/careers/
Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients' revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business.
Refund Specialist - Position Summary
At Strivant Health, we take pride in delivering exceptional accuracy and efficiency in physician revenue cycle management. Join our dynamic team as a Refunds Specialist, where your expertise in medical billing and patient refunds will directly impact operational excellence and patient satisfaction. This position is more than just administrative work -it's about making a meaningful difference by ensuring patients and payers receive accurate refunds. If you have a keen eye for detail, love solving problems, and enjoy working in a fast-paced, high-volume environment, this is the perfect opportunity for you
What You'll Do - Your Impact Matters
- Research and resolve credit balances for patients and third-party payers.
- Process refund requests with precision and ensure all documentation is complete.
- Communicate professionally with clinics and patients to resolve discrepancies.
- Maintain and audit refund trackers and systems for accuracy and compliance.
- Support digital refund processing and contribute to special projects..
- Collaborate with a supportive internal team and offshore team to streamline financial processes.
- Collaborate with leadership and team members to enhance the refunds process.
- 3+ years of experience in researching and resolving credit balances on medical claims and processing refunds.
- Strong understanding of insurance reimbursement (Medicare, Medicaid, commercial).
- Familiarity with CPT, ICD-9/10, and HCPCS codes and insurance regulations.
- Excellent communication skills, both written and verbal.
- Experience working with medical billing systems.
- Proficiency in Microsoft Office (Excel, Word, Outlook, Teams).
- Strong analytical skills with the ability to recognize trends and provide data-driven solutions.
- Willing to work onsite one day a week, the remaining time during the week is remote.
- Willing to work on-site more during your initial training period or when others are on vacation. This would only be occasionally.
- Make a Real Impact - Your work directly influences cash flow and financial health for healthcare providers and their patients.
- A Culture of Excellence - We value accuracy, innovation, and teamwork.
- A Supportive Team - Work with like-minded professionals who understand the complexities of revenue cycle management.
- Opportunities to drive change and improve processes for greater efficiency.
We are looking forward to reviewing your resume
Find out more about our culture and benefits at: https://strivanthealth.com/careers/
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