Insurance Refund Specialist with Payment Policy Expertise
1 month ago
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 DescriptionThe 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.
RequirementsTo 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.
BenefitsAt Visaya KPO, we offer a competitive salary and benefits package, including health insurance, retirement savings plan, and paid time off.
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