Refund Specialist I

We need to output only HTML fragment, with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. The posting includes: "Job Description" which is essentially responsibilities. There's "Essential Job Functions" which are duties. There's "Knowledge, Skills And Abilities". There's "Education And Experience". There's "Physical Demands". There's "Hourly Rate". There's benefits description. There's location: Remote. There's closing date: Open until Filled (metadata). We need to not repeat job title as heading. We should not include Job ID etc. We need to include sections: About the role? The opening paragraph after "Where do you belong?" is more like company overview. Could be "About the role" or maybe "About the company". The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content accordingly. We have: - About the role: maybe the introductory paragraph about USACS culture, location, etc. Could be used. - Responsibilities: the "Essential Job Functions" list. - Requirements: maybe "Education And Experience" plus "Physical Demands"? But "Requirements" could cover education/experience and maybe physical demands. - Qualifications: maybe "Knowledge, Skills And Abilities"? Actually that is more skills/abilities. Could be "Skills". But we have separate Skills heading. We need to avoid thin sections. Let's decide: - About the role: include the paragraph starting "Where do you belong? Your career is more than just a job..." up to "Our supportive culture, outstanding benefits and competitive compensation package is best in class." - Responsibilities: list of Essential Job Functions (bullet points). Use

• . - Requirements: Education And Experience (high school diploma, 2 years experience, etc.) plus maybe Physical Demands? Physical demands could be separate but maybe we can include under Requirements as it's a requirement. But we could also have a separate section for Physical Demands if we want, but we only have allowed headings list; we could add a custom heading? The instruction says use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It implies we should use those headings; not others. So we should stick to those. So we need to fit all content into those categories. Thus: - About the role: company overview. - Responsibilities: Essential Job Functions. - Requirements: Education And Experience + Physical Demands (maybe combine). - Qualifications: maybe "Knowledge, Skills And Abilities"? But that is more like skills. Could treat as Qualifications. - Skills: maybe we could split Knowledge, Skills And Abilities into Skills and Qualifications? But we have both headings; we need to avoid duplication/thin sections. Perhaps we can put Knowledge, Skills And Abilities under Skills, and Qualifications could be empty? Better to use Skills for that, and Qualifications for Education And Experience? But we already used Requirements for education/experience. Hmm. We could map: - About the role: company overview. - Responsibilities: Essential Job Functions. - Requirements: Education And Experience. - Qualifications: Knowledge, Skills And Abilities (maybe treat as qualifications). - Skills: maybe we could leave out or combine with Qualifications? But we need to avoid empty sections. Could we omit Skills heading if no specific skill list beyond what's in Qualifications? The Knowledge, Skills And Abilities includes skills; we could put that under Skills and treat Qualifications as education/experience. But we already used Requirements for education/experience. Let's think. We have Education And Experience (high school diploma, 2 years experience, etc.) That's qualifications. So Qualifications heading could hold that. Skills heading could hold Knowledge, Skills And Abilities (which includes knowledge, skills, abilities). That seems logical. Thus: - About the role: company overview. - Responsibilities: Essential Job Functions. - Qualifications: Education And Experience. - Skills: Knowledge, Skills And Abilities. - Benefits: benefits description. - Pay: Hourly Rate. - Schedule: maybe not provided; we have no schedule info. So we should not include Schedule section. Location: Remote could be included in About the role or maybe as a brief note. Could add a

  after About the role? But we must not create extra headings. Could include location in About the role paragraph. We also have closing date "Open until Filled". That's metadata; we can fold into a short

  maybe after About the role or drop it. The instruction: "Do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

  or drop it." So we can include a short

  for closing date. We must remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. So we need to remove the "Click the red apply button..." lines. Now produce HTML fragment with appropriate headings and content. We need to preserve all substantive information. Let's extract. About the role paragraph: "Where do you belong? Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success. USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class." We could also add location Remote somewhere; maybe add a sentence: "This position is remote." Responsibilities: list of Essential Job Functions (bullet points). Let's extract each bullet: - Investigate all requested refunds and credit balances by reviewing patient accounts for unapplied payments causing overpayments. - Verify payment application details on patient accounts to confirm accuracy. - Analyze internal deposit and payment batches to trace deposit origins and detect duplicate postings. - Utilize Cedar Patient Portal to confirm relevant payment information and initiate refunds when applicable. - Correct posting discrepancies in the Athena Billing System promptly and accurately. - Enter cases and document all necessary corrections within the Athena system. - Perform adjustments within guarantor accounts and process refunds as required. - Ensure claims are adjudicated correctly by understanding payer-side claim processes in Athena. - Maintain comprehensive notations in the system to facilitate clear communication and tracking of account activities. - Initiate refunds through Cedar Patient Portal or directly via Athena Billing System when portal processing is unavailable. - Execute complete refund check processes including reissue, void, and returned checks following established protocols. - Maintain organized backup documentation for all adjusted and refunded accounts to support audit readiness. - Communicate professionally and courteously with coworkers, management, third-party payors, and patients. - Assist with additional departmental duties as assigned to support overall team objectives. We need to keep all. Qualifications (Education And Experience): - High school diploma or equivalent required. - Minimum of two years combined experience in medical insurance, payment processing, or insurance follow-up preferred. - Experience with Insurance Websites/Portals/Overpayment Forms required. - Strong knowledge of Coordination of Benefits including Government and Commercial Carriers required. - Proficient in review of Explanation of Benefits and Posting required. - Strong knowledge in Payer initiated recoupments required. - Experience with AthenaOne Billing System is preferred but not mandatory. Also Physical Demands: Could be included under Qualifications? But maybe better to add a short note under Qualifications? However Physical Demands is not education/experience. Could we add a separate section? Not allowed headings. Could we incorporate into Qualifications as a bullet? Might be okay. Physical Demands: - Regularly required to sit for extended periods; occasional walking, standing, bending, stooping, and lifting up to 15 pounds. - Must have close visual acuity to perform job duties accurately. We could add these as bullet points under Qualifications as well, but they are not exactly qualifications. Might be okay to include them there. Skills (Knowledge, Skills And Abilities): - In-depth knowledge of payment processing functions, medical insurance, government payors, and related terminology. - Proficiency in using personal computers within a Windows environment, including spreadsheet applications and data entry tools. - Strong attention to detail with excellent problem-solving skills to identify and resolve discrepancies efficiently. - Effective verbal and written communication skills, maintaining professionalism and confidentiality at all times. - Ability to organize workload effectively, manage multiple tasks simultaneously, and adapt to changing priorities. - Willingness and ability to work overtime as needed to meet business demands. Benefits: List from paragraph: "USACS offers a comprehensive and competitive benefits package designed to support the health, well-being, and financial security of our employees. Benefits may vary based on role, location, and employment status, but generally include: Medical, dental, and vision insurance options Health savings accounts (HSA) and flexible spending accounts (FSA) 401(k) employee and employer contributions Paid time off, including vacation, sick leave, and company holidays Paid parental leave & family support benefits Short-term and long-term disability insurance Life and accidental death & dismemberment (AD&D) insurance Employee assistance programs & wellness resources Additional compensation may include bonus eligibility, equity, or other incentive programs, depending on the role. Specific benefit offerings and eligibility will be provided during the hiring process and may be subject to change in accordance with applicable laws and company policies." We need to format as

  • for list items. The benefits list includes many items; we can split each as separate
  • . Also note the sentence about additional compensation etc. Could be a
  • as well. Pay: - Hourly Rate: $16.33-$30.21 - Note: "Hourly rate may be determined on several factors including but not limited to knowledge, skills, experience, education, geographical location and requirements stated in job description." We can include that as a

    after the rate. Schedule: none, so omit. We also need to include closing date metadata as short

    . Could place after About the role maybe. We must not include any markdown fences. Just raw HTML. Let's construct:

    About the role

    Where do you belong? Your career is more than just a job, it's part of your life. Whether you’re a clinician, or non-clinical professional, at USACS you'll feel a sense of connection working with clinicians and office staff who share your interests and values. We want you to love coming to work each day because you believe in what you do and the people with whom you work. We care about your success. USACS also understands that location is important. We offer career opportunities for clinicians and non-clinical support staff from New York to Hawaii and numerous points in between. Our supportive culture, outstanding benefits and competitive compensation package is best in class. This position is remote.

    Closing date: Open until Filled.

    Responsibilities

    • Investigate all requested refunds and credit balances by reviewing patient accounts for unapplied payments causing overpayments.
    • Verify payment application details on patient accounts to confirm accuracy.
    • Analyze internal deposit and payment batches to trace deposit origins and detect duplicate postings.
    • Utilize Cedar Patient Portal to confirm relevant payment information and initiate refunds when applicable.
    • Correct posting discrepancies in the Athena Billing System promptly and accurately.
    • Enter cases and document all necessary corrections within the Athena system.
    • Perform adjustments within guarantor accounts and process refunds as required.
    • Ensure claims are adjudicated correctly by understanding payer-side claim processes in Athena.
    • Maintain comprehensive notations in the system to facilitate clear communication and tracking of account activities.
    • Initiate refunds through Cedar Patient Portal or