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Refund Claims Specialist

2 months ago

Denver, Colorado, United States IDR Healthcare Full time
Refund Specialist Job Description

IDR Healthcare is seeking a highly skilled Refund Specialist to join our team. As a Refund Specialist, you will play a critical role in resolving healthcare insurance claim accounts with existing credit balances.

Key Responsibilities:
  • Research and initiate follow-up on healthcare 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, root cause analysis, and problem-solving skills to resolve issues on outstanding claim balances
  • Contribute to the implementation of process improvement initiatives aimed at improving the credit department
  • Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and our client's policies
Requirements:
  • High School Diploma or equivalent required
  • At least 2 years of experience with accounting, transactions, or medical billing/accounting systems required
  • Healthcare and medical claim overpayment remediation and refunding experience is required
  • Knowledge or experience working with a variety of health care insurance payers is preferred
  • Intermediate computer proficiency in Microsoft Office including Excel and Outlook required
What We Offer:
  • Competitive compensation package
  • Full benefits, including medical, vision, dental, and more
  • Opportunity to work with a leading organization in the healthcare industry
  • Close-knit and team-oriented culture
About IDR Healthcare:
  • 20+ years of proven industry experience in 4 major markets
  • Employee Stock Ownership Program
  • Medical, dental, vision, and life insurance
  • ClearlyRated's Best of Staffing Client and Talent Award winner 11 years in a row