Refunds Specialist – Full Time

Job Summary:

Researches, analyzes, and reconciles all credit balances within assigned accounts to ensure timely and accurate resolution.

Job Description:

The Refunds Specialist is responsible for reviewing accounts with credit balances, determining the reason for the credit, and initiating refunds when appropriate. This role requires strong attention to detail and consistent follow-up to maintain accuracy and compliance.

Key responsibilities include:
• Reviewing all accounts with credit balances and identifying causes.
• Requesting refunds as needed in accordance with policy and payer guidelines.
• Analyzing daily credit balance reports to identify and correct inaccurate contractual adjustments.
• Partnering with the supervisor to identify and address contract modeling issues that may generate recurring credit balances.
• Responding to third-party payer inquiries and resolving issues related to credit balances.
• Maintaining complete and accurate refund documentation in alignment with internal audit requirements.

The ideal candidate demonstrates strong analytical skills, attention to detail, and the ability to collaborate effectively across teams to support accurate account reconciliation and financial integrity.

Scheduled Weekly Hours:

40

Scheduled Work Shift:

Day (United States of America)

Job Exempt:

No

Benefits:

Supporting all aspects of our employees’ wellness – physical, emotional and financial – is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future.

Physical Wellness:

• We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs.
• Employees have access to industry-leading leave for new parents.
• A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves.

Emotional Wellness:

When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household.

Financial Wellness:

• An employee discount program is available to all employees for services provided by MaineGeneral Medical Center.
• Tuition Reimbursement is available to all employees to further develop skills and career.
• We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan.
• Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident.
• We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time.

Career Mobility:

Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource – they’re how we grow our business and care for our community.

Equal Opportunity Employer M/F/Vet/Disability  Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at (207) 861-3440 .