[Hiring] Refund Specialist REMOTE USA

Position: Refund Specialist

Date Posted: October 2, 2025

Industry: Healthcare / Insurance / Claims Administration

Employment Type: Full Time

Experience: 1–3 years of experience in claims processing, insurance billing, or customer service (refunds/adjustments preferred)

Qualification: High School Diploma required; additional certification in Insurance/Healthcare Administration is a plus

Location: United States — Remote

Company: Consociate Health

Description:
Consociate Health, a leading Third-Party Administrator (TPA), is seeking a Refund Specialist to join their growing team. This role provides an opportunity to work in a supportive environment where innovation, collaboration, and professional development are prioritized. The Refund Specialist will report directly to the Claims Manager and will focus on handling voids, refunds, and payment adjustments while ensuring accuracy and compliance.

Position Summary:
The Refund Specialist will be responsible for managing refunds and stop payments, coordinating with the Finance Department, and maintaining timely processing standards.

Principal Duties & Responsibilities:

• Process all voids and refunds accurately and on time.
• Handle stop payments and coordinate with Finance for reconciliations.
• Ensure refunds are completed within a 30-day turnaround time (TAT).
• Assist in other duties as assigned by the Claims Manager.

General Expectations:

• Represent Consociate Health in a positive and professional manner.
• Treat clients, colleagues, and supervisors with respect, dignity, and professionalism.
• Communicate clearly while demonstrating active listening.
• Identify and perform tasks beyond assigned duties when needed.
• Follow safety standards and proper work practices to avoid injury.
• Continuously look for process improvements and efficiency enhancements.
• Maintain confidentiality of sensitive business and client information.
• Actively participate in staff meetings and departmental activities.

Service Expectations:

• Greet clients and colleagues courteously and professionally.
• Respond to client requests promptly and keep them informed about delays.
• Resolve client concerns to their satisfaction.
• Offer value-added services and eliminate non-productive tasks.
• Maintain strong knowledge of Consociate Health’s products and services.
• Project a positive, professional company image at all times.

Required Experience & Skills:

• High School Education (required).
• Claims processing experience required; prior experience in claims adjustments and refunds preferred.
• At least 1–3 years of experience working with the public.
• Insurance billing or customer service background strongly recommended.
• Strong communication, organizational, and analytical skills.
• Proficiency with computers, Microsoft Office, and claim systems.

Physical & Mental Abilities:

• Ability to work in a sedentary environment for extended periods.
• Manual dexterity to operate computer, keyboard, and phone system.
• Ability to concentrate on multiple tasks, meet deadlines, and handle interruptions.

Reporting Structure:

• Reports directly to the Claims Manager.

Working Conditions:

• This position is remote.
• Overtime may be required based on business needs.

Benefits Include:

• Paid Time Off and Paid Holidays.
• Medical, Dental, and Vision Insurance.
• Basic Group Life, Short-Term and Long-Term Disability.
• Voluntary Life, Accident, and Critical Illness coverage.
• 401K Plan with immediate eligibility and automatic enrollment (2% contribution); Consociate matches up to 4% of salary.

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