Refund Specialist

Overview

• The Refund Specialist is primarily responsible for monitoring and issuing patient and insurance refunds.

Responsibilities

• Processes, researches and resolves credit balances and refunds from a billing system’s overages.
• Reviews refund request letters and determines an appropriate resolution based on contract and timely guidelines.
• Identifies trends and notifies appropriate departments.
• Navigates websites to obtain Explanation of Benefits (EOB).
• Contact insurance carriers to verify possible refund details.
• Analyzes data from various reports and makes recommendations accordingly.
• Performs special projects and other duties as assigned.

Qualifications

• High School Diploma or Equivalent.
• Two (2) year of experience posting insurance payments in a healthcare setting.
• Two (2) years of experience reading insurance Explanation of Benefits (EOB) statements preferred.