Job Details

Refund/Self-pay Specialist March 17, 2025

OS-CD090

Located in Tyler, TX

Pay: up to $19.00/hr

Job Full Description

Express Employment Professionals is seeking a Refund/Self-Pay Specialist for a reputable company in Tyler, TX. As a full-service staffing agency, we connect talented professionals with local businesses in East Texas—at no cost to job seekers!

Key Responsibilities:

  • Monitor insurance websites and provider portal accounts for overpayment requests.
  • Identify & manage overdue self-pay accounts in the clinic’s patient accounts receivable.
  • Provide customer service regarding billing, payment discrepancies, refunds, and account adjustments.
  • Verify insured patient accounts for accurate copays, deductibles, and insurance coverage before collecting payments.
  • Process unapplied balances and submit adjustments for approval.
  • Contact patients with overdue accounts to collect payments or arrange payment plans.
  • Explain balances owed by reviewing Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA).
  • Maintain detailed records of contacts, payments, and patient communication.
  • Assist in resolving billing issues and patient complaints.
  • Submit monthly reports on unpaid accounts and refund reconciliations.
  • Process patient refunds in accordance with company policy and ensure demographic accuracy to reduce returned or unprocessed checks.
  • Follow up on refund letters received from insurance carriers.
  • Attend training sessions as required.

Requirements & Qualifications:

  • Knowledge of medical billing & insurance filing rules/regulations (HIPAA/OSHA compliance)
  • 2 years of experience required
  • Strong communication & customer service skills
  • Proficiency with medical software, EMR systems, and office equipment
  • Ability to multitask, stay organized, and work efficiently under pressure
  • Professional demeanor with the ability to build positive working relationships

Apply now or call us at (903) 592-9999!

Tyler, TX
2625
5604 Donnybrook Avenue
Tyler, TX 75703

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