Refund Specialist: Insurance Claims Operations Expert

1 week ago


Federal Way, Washington, United States TalentBurst Full time
Job Description

We are seeking a highly skilled Refund Specialist to join our Credits Team in Revenue Operations Department.

This is an excellent opportunity for individuals who excel in analytical and problem-solving roles, with a high level of multitasking abilities and strong mathematical skills.

The ideal candidate will have experience in healthcare insurance claim overpayment remediation and refunding, as well as knowledge of various health care insurance payers and medical billing/accounting systems.

Key Responsibilities:
  • Autonomously research and resolve all health care insurance claim accounts with existing credit balances.
  • Navigate through various payer systems and internal systems to ensure timely and accurate resolution of claims.
  • Utilize critical thinking and root cause analysis to resolve issues on outstanding claim balances.

Requirements:

  • High School Diploma or equivalent required.
  • Experience in accounting, transactions, or medical billing/accounting systems required.
  • Knowledge or experience working with various health care insurance payers preferred.

What We Offer:

  • All necessary workstation equipment.
  • A competitive estimated salary of $45,000-$60,000 per year, depending on location and experience.
  • Holiday schedule: Monday - Friday, 8 hours/day, 40 hours/week, includes a clocked-out 30-minute lunch every day.

Work Environment:

TalentBurst offers a hybrid or remote work environment. The role requires a stationary, designated, and HIPPA-compliant workspace. Traveling with equipment is not permitted.



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