_What Revenue Cycle Management (RCM) contributes to Cardinal Health_
Practice Operations Management oversees the business and administrative operations of a medical practice.Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero._Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice’s revenue cycle, from prior authorization through billing and collections.__What is expected of you and others at this level_
Acquires job skills and learns company policies and procedures to complete standard tasks
Works on basic and routine assignments
Selects correct processes from prescribed rules or guidelines
Work is closely managed and follows detailed instructions
Seeks regular guidance and advice from supervisor
_Job Purpose:_
The Refund Specialist is responsible for analyzing data to determine whether refunds are warranted based on contractual agreements and payments received. This role ensures accurate and timely processing of overpayments, working closely with internal teams to resolve credit balances and maintaining compliance with regulatory guidelines.
_Essential Functions:_
Review EOBs and ensure allowances, adjustments, unallocated payments, and overpayments are posted correctly
Review and resolve accounts with credit balances/request refunds and/or adjustments as necessary
Generate reports to identify outstanding credit balances and prepare refund packages as necessary
Process refunds and credit balances
Identify account problems, patterns, and trends
Assist with additional payment-related functions as necessary
Assist and respond to reports in a professional manner
Comply with state/federal regulations and adhere to HIPAA and PHI guidelines
Communicate refund status with insurance companies
Maintain refund tracking spreadsheet for all refund requests
Follow up on requests submitted to ensure payment has been received
Cross trained to perform other duties as assigned to meet business needs
_Qualifications_
0-2 years of experience, preferred
High School Diploma, GED or equivalent work experience, preferred
Prior experience in healthcare billing and/or payment posting preferred
Strong understanding of EOBs and Electronic Remittance Advices (ERAs)
Proficient in Microsoft Office Suite (Word, Excel, Outlook); comfortable navigating billing software and online systems
10-key by touch preferred
Strong organizational and time-management skills; able to multitask effectively
Customer service orientation with a professional demeanor
High level of accountability, integrity, and adaptability
Ability to maintain composure under pressure and meet deadlines
Strong interpersonal skills and the ability to work across teams
Self-motivated with demonstrated initiative and follow-through
Excellent attention to detail and problem-solving skills
Strong written and verbal communication skills
Anticipated hourly range:$21.00 – 23.43 USD Hourly
Bonus eligible: No
Application window anticipated to close:9/25/25 *if interested in opportunity, please submit application as soon as possible.
Benefits:Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate’s geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
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