Refund Dispute Specialist

Job Summary

Working remotely, the full-time Refund Dispute Specialist will process incoming payer refund requests, research disputes, and collaborate with staff to resolve payer trends while adhering to state and federal regulations.

Key responsibilities

• Reverses or completes necessary adjustments to ensure daily goals for cash collections and accounts receivable
• Reviews remittance advices and insurance contracts to determine the appropriateness of refunds or disputes
• Creates and submits payer dispute letters and coordinates with intake and billing departments for resolution

Required qualifications

• High School diploma/GED or equivalent required; some college preferred
• 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 ICD 9/10, CPT, HCPCS coding, and medical terminology
• Proficiency in Microsoft Office with typing speed of 40+ WPM