Medical Refund Specialist Job Listing at Emerus Holdings Inc. in Houston, TX (Job ID 2025-19950)

Description

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. 

• 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

• 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

• 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