Refund Dispute Specialist

A company is looking for a Refund Dispute Specialist responsible for processing payer refund requests and managing disputes in accordance with regulations and policies.

Key Responsibilities

Process payer refund requests and determine the appropriateness of disputes

Verify billing accuracy and compliance with payer contracts and regulations

Communicate with intake, patients, and payers to resolve coordination of benefit issues

Required Qualifications

High School diploma / GED or equivalent required; some college preferred

1-2 years of experience in revenue cycle management with knowledge of reimbursement processes

Familiarity with automated billing systems; experience with CPR+ and Waystar is a plus

Knowledge of medical coding (ICD 9 / 10, CPT, HCPCS) and terminology

Solid Microsoft Office skills with typing speed of 40+ WPM