Credit & Refund Specialist

4 weeks ago


Nashville, United States Insight Global Full time

The Refunds Specialist analyzes data to determine whether or not a refund is warranted, based on contractual agreements and payments received, and administers refunds accordingly. The Credit/Refund Specialist will be responsible for the expedient and accurate refund processing of patient and insurance over payments.

Essential Functions:

- Review EOBs and ensure allowances, adjustments, unallocated payments, and overpayments are posted correctly

- Reviews refund requests submitted by the billing team for accuracy, before sending to the accounting department for processing.

- Review and resolve accounts with credit balances/request refunds and/or adjustments as necessary

- Generate reports to identify outstanding credit balances and prepare overpayment packages as necessary

- Initiate and work up refund requests for overpayments

- Process refunds and credit balances to patients or payers

- Identify account problems, patterns, and trends

- Identify patient accounts with credit balances to determine whether or not a refund is due to the patient and/or insurance company.

- Communicate refund status with patients/insurance companies.

- Post adjustment and or payment corrections to patient accounts in billing software.



  • Nashville, United States Insight Global Full time

    The Refunds Specialist analyzes data to determine whether or not a refund is warranted, based on contractual agreements and payments received, and administers refunds accordingly. The Credit/Refund Specialist will be responsible for the expedient and accurate refund processing of patient and insurance over payments. Essential Functions:- Review EOBs and...


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    The Refunds Specialist analyzes data to determine whether or not a refund is warranted, based on contractual agreements and payments received, and administers refunds accordingly. The Credit/Refund Specialist will be responsible for the expedient and accurate refund processing of patient and insurance over payments. Essential Functions: - Review EOBs and...


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