Medical Refund Specialist – Remote

  • Research, initiate follow-up, and resolve all health care insurance claim accounts with existing credit balances.

  • Analyze EOBs and/or payor correspondence to reconcile system credit balance or potential overpayments and request adjustments.

  • Navigate through various payer systems and multiple internal systems to ensure timely and accurate resolution of claims

  • Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.

  • Contributes to the implementation of process improvement initiatives aimed at improving the credit department


  • High School Diploma or equivalent required

  • Healthcare and medical claim overpayment remediation and refunding experience is required

  • 2-4+ years’ experience with accounting, transactions, or medical billing/accounting systems required

  • Knowledge or experience working with a variety of health care insurance payers is preferred

  • Intermediate computer proficiency in Microsoft Office including Excel and Outlook- required