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Insurance Refund Specialist

Insight Global Healthcare
locationAnnapolis, MD, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Job Description

Must-have:

  • At least 1 year of experience in hospital billing.

  • Previous billing/accounts receivable systems experience.

  • Strong communication skills.

Job Description: Insight Global is seeking 1 Insurance Refund Specialist to support the Patient Financials Team for a large healthcare system based out of Annapolis, MD. This person is required to be on-site three days a week and is required to perform the following duties:

  • Credit Work Queue Management

    • Work daily on patient credit queues, processing an average of 30 accounts per day, with potential spikes up to 100+ due to large payments.
    • Ensure timely resolution of credit balances and maintain queue hygiene.
  • Insurance Credit Processing

    • Handle insurance overpayment requests received via email, mail, or fax.
    • Prioritize daily processing of these requests and coordinate with insurance companies directly via email, fax, and phone.
  • Vendor & Payor Coordination

    • Collaborate with contracted vendors (e.g., Aetna, Cigna, BCBS) and non-contracted third-party payors.
    • Primary vendor contact includes Cotivity for insurance credit handling.
  • Refund & Payment Posting

    • Process electronic and paper refund checks, document accounts, and complete required paperwork.
    • Post credit card payments from companies and lockbox sources, ensuring lockbox rules are followed (e.g., no insurance or credit card payments posted from lockbox).
  • Banking Correspondence

    • Print and sort daily banking correspondence from patient and insurance lockboxes.
    • Distribute documents to appropriate internal teams for further action.
  • Team Collaboration

    • Work closely with a team of six, supporting shared goals and assisting peers as needed.

Company DescriptionAt Insight Global, we’re more than just a staffing agency — we’re a people-first solutions firm that believes in the power of connection. With a nationwide presence and a reputation built on trust, integrity, and results, we specialize in placing top-tier talent across healthcare, IT, education, engineering, and professional services.

Company Description

At Insight Global, we’re more than just a staffing agency — we’re a people-first solutions firm that believes in the power of connection. With a nationwide presence and a reputation built on trust, integrity, and results, we specialize in placing top-tier talent across healthcare, IT, education, engineering, and professional services.

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