Medical Billing Insurance Refunds

Job Locations US-NY-Uniondale (Long Island)


Job purpose

The purpose of the Medical Billing Refund Specialist is to research and process refunds using computer systems and following company guidelines. The Refund Specialist will process refunds that are due to the patient, resulting from various overpayment reasons, including but not limited to duplicate payments, over collected copays, etc.





Duties and responsibilities

The primary duties and responsibilities of a Medical Billing Refund Specialist are:

  • Research all credit balance accounts and identifies source(s) of overpayment
  • Completes refund request in accordance with departmental policy and submits to departmental manager for approval
  • Enters refund transaction detail into appropriate system to accurately reflect approved transaction
  • Maintains appropriate documentation and refund records according to departmental policy
  • Maintains the output of 150 refunds per day
  • Reviews credit balance and overpaid insurance reports on a weekly basis. Identifies sources of overpayment and ensures appropriate refund processing and/or account correction
  • Research returned refund checks
  • Apply voids to accounts as necessary and reissue refunds




A candidate’s qualifications will include:

  • High School Diploma, GED or Equivalent Required
  • 1-3 years of medical billing experience is required, comprehensive knowledge of insurance is desired, related experience and/or training; or equivalent combination of education and experience
  • Ability to communicate clearly and effectively
  • Proficient in Microsoft Office Programs, advanced Excel knowledge a plus!
  • Impeccable professional reputation with high degree of energy, integrity and possesses a positive spirit
  • Maintains the strictest confidentiality: adheres to all HIPAA guidelines and regulations


Additional Information

Physical requirements

This job may require, from time to time, repetitive tasks.


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