Insurance Refund Specialist

5 days ago


Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

Visaya Knowledge Process Outsourcing seeks a skilled Insurance Refund Specialist - Financial Analyst to join our team in Ortigas, Pasig City.

Job Summary

We are looking for a detail-oriented and analytical individual with experience in healthcare and managed care environments. As an Insurance Refund Specialist - Financial Analyst, you will be responsible for reviewing accounts, identifying insurance overpayments and credit balances, and evaluating refunds according to current policies and procedures.

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 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/refine refund issues.
  • Post debits for approved refunds and research returned checks.
Requirements:
  • Bachelor's degree in Accounting, Business, Finance, or equivalent combination of training and experience.
  • At least 3 years' experience in healthcare/managed care environment, preferably in a large physician practice or equivalent combination of experience and education.
  • 1+ year of experience with complex refunds to insurance companies.
  • Strong analytical skills with attention to detail and ability to communicate effectively with various levels of management.
  • Knowledge of electronic medical records and billing systems, including pricing modules and fee schedules.
Benefits:
  • A competitive salary of PHP 60,000 - 80,000 per month, depending on experience.
  • A dynamic work environment with opportunities for growth and professional development.
  • A comprehensive benefits package, including health insurance, retirement plan, and paid time off.

The estimated salary range is based on the cost of living in Ortigas, Pasig City, and industry standards for similar positions. We offer a competitive compensation package that includes a monthly salary of PHP 60,000 - 80,000, depending on experience. Our benefits package includes health insurance, a retirement plan, and paid time off, providing a comfortable and secure work environment.



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