Florida Licensed Refund Specialist

Job Summary

To ensure accurate resolution of credit balances, the full-time Florida Licensed Refund Specialist will research patient accounts, review insurance payments and explanations of benefits, and collaborate across departments while working remotely.

Key responsibilities

• Review and analyze patient account activity to determine appropriate refund actions
• Contact insurance payers to obtain additional information regarding coordination of benefits and contractual adjustments
• Identify payment variances and communicate findings to leadership

Required qualifications

• High School Diploma or equivalent required; college coursework or degree preferred
• Minimum of 3-5 years of experience in medical reimbursement or healthcare insurance collections
• Strong experience collecting payments from insurance carriers required
• Proficiency with EMR/EHR systems and basic Microsoft Excel skills required
• Strong understanding of medical terminology and insurance terminology