Refunds & Accounting Support Specialist

Work Schedule:



This role supports our US operations and follows a US-oriented schedule.

Working hours: typically 8:00 AM – 4:00 PM PST
Work week: Monday-Friday or Tuesday-Saturday, depending on the monthly schedule
Saturday coverage: shared between team members on a rotating basis
Schedule planning: prepared monthly based on workload, business priorities, and team coverage

We’re looking for someone who is comfortable working US business hours and can adapt to occasional schedule changes based on operational needs.

Responsibilities
Review, investigate, and process refund requests in accordance with company policies, SOPs, and documentation standards.
Analyze payment history, appointment details, patient communications, provider notes, and internal records to determine refund eligibility.
Evaluate disputes, policy exceptions, and no-show cases using sound judgment and supporting evidence.
Maintain accurate documentation across CRM, refund trackers, and internal systems.
Identify opportunities to resolve patient concerns before processing refunds whenever appropriate.
Record refund-related journal entries and support day-to-day accounting activities in QuickBooks Online.
Support Accounts Payable (AP) and Accounts Receivable (AR), including invoice reviews, payment tracking, reconciliations, and financial record maintenance.
Prepare recurring and ad-hoc Excel and Google Sheets reports, trackers, reconciliations, and financial analyses.
Contribute to day-to-day finance operations and support continuous process improvements.
Collaborate with cross-functional teams to resolve operational and financial issues.

This role is not for you if

You prefer repetitive task execution over investigating cases and making informed decisions.
You struggle working with detailed documentation, financial records, or structured operational processes.
You are uncomfortable working in a fast-paced environment where priorities may change.
You prefer narrowly defined responsibilities rather than collaborating across multiple teams.
You’re looking for a traditional accounting role with minimal operational involvement.

Requirements
2+ years of experience in Finance Operations, Accounting Support, Billing, Payment Operations, Refund Operations, Accounts Payable (AP), Accounts Receivable (AR), or a similar finance-related role.
Hands-on experience with QuickBooks Online or another accounting system.
Strong Excel or Google Sheets skills, including formulas (XLOOKUP/VLOOKUP, SUMIFS/COUNTIFS), Pivot Tables, filtering, and data reconciliation.
Experience reviewing financial transactions, payments, invoices, refunds, or customer accounts.
Strong analytical skills, attention to detail, and the ability to investigate cases, evaluate information, and make well-reasoned decisions.
Ability to prioritize workload, manage multiple tasks, and meet deadlines in a fast-paced environment.
Experience working with SOPs, internal policies, and process-driven workflows.
Strong written communication skills and confidence collaborating with cross-functional teams.
Advanced English (C1+) and fluent Russian.
Availability to work a US-oriented schedule (typically 8:00 AM – 4:00 PM PST).
Ability to collaborate with us under a long-term B2B contractor agreement.
A reliable personal computer, stable high-speed internet connection, and a suitable home office setup for full-time remote work.

Would be a plus

Experience in Healthcare, Telemedicine, SaaS, FinTech, or subscription-based businesses.
Experience working with Stripe or other payment processors.
Experience handling disputes.
Experience using CRM platforms.
Experience improving operational processes or identifying workflow optimization opportunities.