Insurance 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 a related field, or equivalent experience
• Minimum of 3 years of experience in a healthcare or managed care environment
• At least 1 year of experience handling complex insurance refunds
• Strong knowledge of physician reimbursement methodologies and managed care claim payment processes
• Advanced proficiency in Microsoft Excel and financial analysis related to physician reimbursement