Description

About the Role

Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve.

The Refund Specialist is responsible for reviewing and resolving credit balances on patient accounts within the billing system. This includes analyzing explanations of benefits (EOBs) to determine whether credits should be refunded to payers or patients. The Refund Specialist works cross-functionally with internal teams to resolve posting discrepancies, to ensure compliance with organizational policies and payer requirements, and to support accurate and timely refund processing.

This is a remote (TX, NC, SC, or FL), full-time role, 40 hours per week Monday through Friday. 

Responsibilities

• Audits encounters and accounts with payers and patient credits in the relevant Practice Management System (PMS) to verify accuracy and resolve discrepancies using established processes. 
• Reviews patient and insurance credits in accordance with standard operating procedures to approve refund requests, process appeals and corrected claims, and issue refunds for insurance overpayments.
• Responds to tasks and emails from staff members identifying overpayments and ensures timely resolution. 
• Reviews and processes chargebacks using standard operating procedures.
• Contacts payers or patients as needed to resolve credit or refund discrepancies.
• Prepares and maintains required reports as defined by the Management.
• Actively participates in staff meetings in a constructive and solutions-focused manner.
• Maintains effective communication and cooperative working relationships with other departments, staff, providers, patients, and visitors.
• Ensures all refund-related activities are completed in compliance with company policies and procedures, payer requirements, and applicable regulations.
• Other job duties as assigned.

Qualifications

• High school diploma or equivalent
• 2+ years of experience in Revenue Cycle Management performing follow-up, auditing, and payment posting
• Proficiency with Microsoft Office (Outlook, Excel, and Word)
• Strong math, analytical and reasoning skills
• Ability to efficiently multitask, with strong time management and organizational skills
• Demonstrated ability to work independently with minimal supervision

The Benefits
We offer a robust benefits package to include:

• Medical, Dental, Vision, and EAP
• LTD/Life Insurance
• 401k with employer match
• PTO accrual starting at 15 days per year
• Paid Parental Leave
• Tuition Reimbursement Program

About Mindpath Health

Mindpath Health exists to increase access to mental health care that helps people thrive. We do this by empowering our clinicians, investing in our people, and caring for the communities we serve. As a national leader in mental health services, we are reimagining care delivery, reaching patients and focus on clinical excellence. With a team of more than 500 mental health clinicians, Mindpath Health provides a broad spectrum of psychiatry, interventional psychiatry (including TMS and esketamine) and psychotherapy care.

At Mindpath Health, we offer telehealth and in-person visits and coordinate care with primary care physicians and referring providers to ensure a focus on the total health. Mindpath Health is in-network with most major health insurance providers and has more than 100 locations across California, North Carolina, South Carolina, Florida, Texas, Arizona, and growing.

Join our community and discover how rewarding work can be!

Mindpath Health is an equal opportunity employer. We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, ancestry, age, disability, veteran status, or any other status legally protected by federal, state, or local law.