Insurance Refund Specialist with Payment Policy Expertise

1 month ago


Pasig, National Capital Region, Philippines Visaya KPO Full time
About Visaya KPO

Visaya KPO is a leading provider of business process outsourcing solutions, delivering exceptional services to clients worldwide.

Job Title: Insurance Refund SpecialistSalary Range:

$65,000 - $90,000 per year, depending on location and experience.

Job Description

The Insurance Refund Specialist plays a critical role in reviewing accounts, identifying insurance overpayments and credit balances, and ensuring refunds are issued in accordance with current policies and procedures. This position requires strong analytical and problem-solving skills, as well as excellent communication and collaboration abilities.

Key Responsibilities:
  • Review refund and overpayment requests from insurance payers to determine if overpayment has occurred
  • Resolve credit balances through credit transfers, account corrections, and refund request form completion for manual refund check requests
  • Identify root causes and trends contributing to patient and insurance credit balances
  • Collaborate with other revenue cycle departments to improve efficiency and reduce/refrain from refund issues

This role involves working closely with clinical areas and the payer community to ensure seamless payment processing and effective resolution of payment-related inquiries.

Requirements

To succeed in this position, you will need:

  • Excellent analytical and problem-solving skills
  • Strong communication and collaboration abilities
  • Ability to work collaboratively and build positive business relationships
  • Maintain confidentiality of patient information

You will be expected to develop and maintain expertise with payer specialty-specific payment policies and perform special projects as required.

Benefits

At Visaya KPO, we offer a competitive salary and benefits package, including health insurance, retirement savings plan, and paid time off.



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