Refund Specialist III

@ Lensa

Overview

Lensa is a career site promoting jobs on behalf of direct clients, including US Anesthesia Partners. This role validates and tracks credits due to insurance companies, patients, and other payers, prepares refund requests, posts payments, and supports cash management duties. Please note, candidates residing in California, Hawaii, or Alaska are not eligible.

Essential Duties & Responsibilities

The Refund Specialist III will:

• Maintain and process work queue items accurately within timelines.
• Analyze account activity to determine refund eligibility and correct payment handling.
• Work with government and commercial payers to resolve overpayments.
• Collaborate with internal teams on complex refund-related issues.
• Identify trends for process improvements and reduce rework.
• Review and resolve charge corrected and non-charge corrected invoices.
• Submit overpayment requests using payer portals.
• Prepare Refund Request Forms with supporting documentation.
• Maintain HIPAA patient confidentiality standards.
• Meet or exceed department KPIs and productivity targets.

Qualifications

Requirements include a high school diploma or equivalent, 5+ years of medical billing experience, strong knowledge of medical terminology, experience with payor contracts, 4+ years of posting experience and strong Excel and communication skills.

Key skills/competency

Refund, Insurance, Payment, Medical Billing, Excel, Contracts, Accuracy, KPI, HIPAA, Data Entry