Refund Dispute Specialist

Job Summary

A company is looking for a Refund Dispute Specialist.

Key Responsibilities

• Process incoming payer refund requests and determine the appropriateness of refunds or disputes
• Verify billing accuracy for dispensed medications and services according to payer contracts
• Create and submit payer dispute letters with supporting documentation, ensuring compliance with regulations

Required Qualifications

• High School diploma/GED or equivalent required; some college is a plus
• 1-2 years of experience in revenue cycle management with knowledge of various reimbursement types
• Familiarity with automated billing systems; experience with CPR+ and Waystar is a plus
• Understanding of basic accounting practices and medical coding
• Solid Microsoft Office skills with typing proficiency of 40+ WPM