Refund-Payment Processor

Capitol Imaging Services • Metairie, LA

5d

About The Position

We are seeking an organized and precise Medical Refund Specialist to review healthcare billing accounts and resolve credit balances. The role investigates billing data, verifies insurance contracts, and determines whether an overpayment occurred. After confirming a posting error or overpayment, the specialist processes the necessary correction and routes the refund request for approval and disbursement.

Requirements

• High school diploma or equivalent.
• 1 to 2+ years of experience in medical billing, healthcare insurance collections, or revenue cycle management.
• High proficiency with Microsoft Office products, specifically Excel for tracking spreadsheets and SharePoint.
• Experience navigating Electronic Health Record (EHR) or billing systems.
• Strong mathematical aptitude, attention to data detail, and clear written and verbal communication skills for resolving discrepancies.

Nice To Haves

• Comprehensive understanding of payer contracts, government guidelines (Medicare/Medicaid), and commercial insurance workflows.
• Working knowledge of medical terminology, CPTs, and ICD-10 coding.

Responsibilities

• Analyze patient accounts and monthly credit reports to identify overpayments made by patients or insurance payers.
• Validate, prepare, and track refund requests from inception to payout, ensuring accurate documentation is attached.
• Read and interpret Explanation of Benefits (EOBs) to confirm payment posting, claim reversals, and payer offsets.
• Route refund requests to management for approval signature while adhering to internal financial controls and healthcare laws such as HIPAA.
• Interact with insurance carriers, clearinghouses, and patients by telephone or digital portals to research and resolve collection errors.
• Maintain a detailed chronological ledger of refund logs, account notes, and audits to support financial reviews.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED