Job Details

Refund Analyst

The Refund Analyst is responsible for researching and processing patient and payer refunds related to fixed radiology services. This role ensures accurate reconciliation of credit balances, validates overpayments, and initiates refund requests in compliance with payer contracts, internal policies, and regulatory standards. The Refund Analyst works closely with billing, collections, and finance teams to maintain audit-ready documentation and support timely resolution of account discrepancies.

Key Responsibilities:

• Research credit balances across patient and payer accounts to determine refund eligibility.
• Pull and review Explanation of Benefits (EOBs) to validate overpayments and support refund documentation.
• Prepare and submit check request forms for management approval prior to refund issuance.
• Collaborate with billing and collections teams to resolve account discrepancies and ensure accurate adjustments.
• Maintain detailed records of refund activity and ensure compliance with payer guidelines and internal audit standards.
• Monitor aging reports and escalate unresolved credit balances as needed.
• Respond to internal inquiries regarding refund status and documentation.
• Assist with audits and reporting related to refund activity.

Position Requirements:

• High School Diploma or equivalent required.
• Minimum 1 year of experience in medical billing, collections, or refund processing.
• Experience in radiology or imaging services preferred.
• Familiarity with EOB interpretation, payer contracts, and refund workflows.
• Proficiency in using multiple computer systems and screens simultaneously.
• Strong attention to detail and organizational skills.
• Effective verbal and written communication skills.
• Ability to work independently and collaboratively across departments.
• Experience with Intergy or similar collection systems preferred.

Physical Requirements:

• Standard Office Environment.
• More than 50% of the time: sit, stand, walk. Repetitive movement of hands, arms and legs. See, speak and hear to be able to communicate with patients.
• Less than 50% of the time: stoop, kneel or crawl. Climb and balance. Carry and lift (ability to move non-ambulatory patients from a sitting or lying position for transfer or to exam).