Insurance Refunds Specialist

Cardinal Health•Doral, FL

2d•$17•Hybrid

About The Position

What Revenue Cycle Management (RCM) contributes to Cardinal Health Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient’s account balance is zero. Work Schedule 8:00 AM ET to 4:30 PM ET Hybrid in Doral, FL (1 day Onsite, 4 days Remote) Job Summary The Insurance Refunds Specialist is responsible for reviewing, processing, and reconciling insurance overpayments and refunds in a timely and accurate manner. This role ensures compliance with payer guidelines, internal policies, and regulatory requirements while maintaining clear communication with insurance carriers, and internal departments.

Requirements

1-3 years of experience, preferred.
High School Diploma, GED or equivalent work experience, preferred.
Experience in medical or pharmacy billing, insurance processing, or revenue cycle operations.
Strong understanding of EOBs, ERAs, payer guidelines, and refund workflows.
Excellent attention to detail and accuracy.
Strong communication skills for interacting with payers and internal teams.
Ability to analyze account activity and identify discrepancies.
Proficiency with billing software, payment posting systems, and Microsoft Office tools.
Ability to work independently, prioritize tasks, and meet deadlines.
Applies acquired job skills and company policies and procedures to complete standard tasks
Works on routine assignments that require basic problem resolution
Refers to policies and past practices for guidance
Receives general direction on standard work; receives detailed instruction on new assignments
Consults with supervisor or senior peers on complex and unusual problems

Responsibilities

Review insurance payments, remittances, and account balances to identify overpayments or refund requirements.
Process insurance refunds according to payer rules, internal procedures, and compliance standards.
Reconcile accounts to ensure accuracy before issuing refunds.
Communicate with insurance companies to verify overpayments, request clarification, or resolve discrepancies.
Document all refund activity clearly and accurately in the billing system.
Collaborate with billing, payment posting, and accounts receivable teams to resolve account issues.
Maintain up‑to-date knowledge of payer policies, refund regulations, and compliance requirements.
Monitor refund queues and ensure all items are processed within required timeframes.
Assist with audits, reporting, and special projects as needed.

Benefits

Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
Medical, dental and vision coverage
Paid time off plan
Health savings account (HSA)
401k savings plan
Access to wages before pay day with myFlexPay
Flexible spending accounts (FSAs)
Short- and long-term disability coverage
Work-Life resources
Paid parental leave
Healthy lifestyle programs