The Refund Specialist I – RCM is responsible for processing and resolving refund-related activities accurately and efficiently. This role supports revenue cycle operations by working returned refunds, addressing exception refunds, and managing overpayment dispute processes while maintaining compliance with organizational policies and regulatory requirements. This role may also be assigned to post payments and perform essential cash management duties.

At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska.

The base pay estimate for this role is $16.49 - $26.39 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.

ESSENTIAL DUTIES AND RESPONSIBILITIES: (The ideal candidate must be able to complete all physical requirements of the job with or without a reasonable accommodation)

• Performs follow-ups on checks that have not cleared the bank and researches checks that are returned for an insufficient address.
• Prepares refund request forms and supporting documentation regarding overpayment calculations.
• Reviews and processes returned refund payments, ensuring proper reissuance or correction as needed.
• Handles exception refunds, including locating supporting documentation and EOBs, validating requests, and ensuring timely issuance and mailing of refund checks.
• Prepares and submits overpayment disputes for inaccurate or rejected refund transactions.
• Performs detailed account research to ensure refund accuracy and prevent incorrect payments.
• Maintains accurate documentation of refund transactions and actions taken in system records.
• Collaborates with internal teams to resolve refund discrepancies.
• Monitors refund queues and works assigned volumes within established turnaround times.
• Ensures compliance with company policies, payer guidelines, and applicable regulations.
• Identifies trends or issues related to refunds and escalates appropriately.
• Supports general administrative duties related to refund processing and reconciliation.
• Maintains HIPAA patient confidentiality standards for medical and financial information.
• Performs all other duties as assigned.

KNOWLEDGE/SKILLS/ABILITIES (KSAs):

• High school diploma or equivalent required.
• Minimum of 1 year medical billing experience required.
• Knowledge of medical terminology and computer literacy are required.
• Familiarity with payor contracts preferred.
• Posting experience preferred.
• Basic MS Office skills required; advanced skills preferred.
• Strong working knowledge of Excel.
• Strong oral and written communication skills.
• Accurate data entry skills.
• Attention to detail is a must.
• Ability to identify trends in underpayments/overpayments.

*The physical demands described here are representative of those that may need to be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Occasional Standing
• Occasional Walking
• Frequent Sitting
• Frequent hand, finger movement
• Use office equipment (in office or remote)
• Communicate verbally and in writing

US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.