Refund Dispute Specialist

Job Summary

A company is looking for a Refund Dispute Specialist responsible for processing payer refund requests and managing disputes.

Key Responsibilities

• Process incoming payer refund requests and determine appropriateness of refunds or disputes
• Verify billing accuracy and compliance with payer contracts and regulations
• Create and submit payer dispute letters with supporting documentation

Required Qualifications

• High School diploma/GED or equivalent required; some college preferred
• 1-2 years of experience in revenue cycle management with knowledge of reimbursement processes
• Familiarity with automated billing systems; experience with CPR+ and Waystar is a plus
• Understanding of basic accounting practices and medical coding (ICD 9/10, CPT, HCPCS)
• Solid Microsoft Office skills with typing speed of 40+ WPM