Refund Specialist

Job Summary

A company is looking for a Refund Specialist - Insurance.

Key Responsibilities

• Review refund/overpayment requests from insurance payers to determine if an overpayment has occurred
• Resolve credit balances through credit transfers, account corrections, and manual refund check requests
• Identify root causes of credit balances and collaborate with revenue cycle areas to improve efficiency

Required Qualifications

• Bachelor's degree in accounting, business, finance, or equivalent experience
• 3 years' experience in a healthcare/managed care environment
• 1 year of experience with complex refunds to insurance
• Knowledgeable in physician reimbursement and managed care claim payment issues
• Advanced proficiency in Excel and financial analysis related to physician reimbursement