Refund Specialist

Job description

Job DetailsJob Location: Allied Benefit Systems - CHICAGO, IL 60606Position Type: Full TimeSalary Range: $20.00 - $22.00 HourlyJob Category: OperationsPOSITION SUMMARY The Refund Analyst will use independent judgement and discretion to review, analyze, and make determinations regarding solicited and unsolicited refunds based upon specific claim guidelines and plan benefits. Prepare and track overpayments to providers for solicited refunds. Assist with specific tasks and projects as needed and assigned by the Management Team. ESSENTIAL FUNCTIONS: Independently review, analyze, and make determinations of refunds Read, analyze, understand, and ensure refunds are handled in compliance with clients’ Summary Plan Descriptions Consult with other departments including Reinsurance, Accounting, and Claims as needed to determine the appropriateness of refunds and ensure the refund is applied accurately Process, adjust, and void claims in the QicLink system Prepare and track overpayment request letters to providers Contact providers for status updates on refund request Review and analyze daily, weekly, and monthly reports from accounting department(s) to either void, adjust, or apply a refund...