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RCM Refund Specialist
Allergy Partners PLLCRCM Refund Specialist processing patient and insurance refunds for Allergy Partners. Researching accounts, preparing checks, reconciling returned refunds, and supporting accounting reviews.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates proficiency in processing patient and insurance refunds while maintaining compliance with HIPAA guidelines. Capable of effectively communicating with management and coworkers, ensuring accuracy in financial reporting and patient account management.
Highest-signal resume keywords
Healthcare Billing ExperienceHIPAA ComplianceDetail-OrientedProficient Computer SkillsEffective Communication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Patient Refund ProcessingFinancial ReportingData EntryError DetectionPayment Method Verification
Soft Skills
Professional CommunicationIndependenceFocus on Assigned Tasks
Tools & Technologies
Practice Management SoftwareWord Processing SoftwareOffice Equipment Operation
Certifications & Qualifications
High School DiplomaGED Equivalent
Industry Keywords
Patient ConfidentialityInsurance RefundsAccounting ReviewCompliance Guidelines
About the role
Key responsibilities & impact- Process patient and insurance refunds
- Review credits and research patient accounts for patients and insurance
- Verify payment methods and pull remits to determine true credits
- Adjust small balances and convey monies
- Issue patient refund checks
- Prepare refund checks with detailed reports for management review and signature
- Run financial reports for accounting review
- Prepare and mail checks
- File corresponding backup copies
- Process returned refunds with the accounting department and contact patients to resend refunds
- Maintain patient confidentiality and comply with HIPAA and practice compliance guidelines
- Maintain knowledge of practice management and other computer software related to job functions
- Attend required training and requested meetings
- Perform additional duties assigned by the Director of Central Billing Services, Manager, Team Leader, or Supervisor
- Comply with department policies and report policy violations through designated channels
Requirements
What you’ll need- High school diploma or GED equivalent
- Healthcare or related experience required
- One to three years of experience, preferably in a healthcare billing setting
- Good written and oral communication skills
- Proficient computer skills, including word processing and data entry
- Ability to communicate professionally and effectively with management and coworkers
- Detail-oriented with the ability to detect errors and discrepancies
- Ability to work independently and stay focused on assigned tasks
- Maintain patient confidentiality and comply with HIPAA and compliance guidelines
- Moderate physical demands, including occasional lifting of approximately 20–30 pounds
- Prolonged sitting with some bending, stooping, and stretching
- Eye-hand coordination and manual dexterity to operate keyboards, photocopiers, telephones, calculators, and other office equipment
- Normal hearing and vision correctable to normal range
Benefits
Comp & perks- Occasional evening or weekend work
- Required OSHA, HIPAA, and OIG training programs
- Assigned AP training, including CPR, OSHA, HIPAA, Compliance, and Information Security