<p>Description - External</p> <p>Description</p> <p>The Refund Analyst is responsible for reviewing, validating, processing, and reconciling customer or provider refund requests with a high degree of accuracy and compliance. This role ensures that all refund activities adhere to internal policies, regulatory requirements, audit guidelines, and service-level standards. The ideal candidate is detail-oriented, analytical, and experienced in financial or claim-related workflows.</p> <p>Responsibilities:</p> <ul> <li>Process system credits on refund/returned checks for TPA claim </li><li>Create refund request letters to advise providers of overpayments to initiate group credits </li><li>Work together with team members on complex issues to ensure outstanding receivables are satisfied </li><li>Create manual check requests to reimburse providers when overpayments were previously satisfied </li><li>Collaborate with Accounting and Disbursements to ensure proper GL Coding is used when issuing payments </li><li>Respond to our recovery vendors timely to approve fees for overpayment recoveries </li><li>The ability to multitask on email requests along with projects as assigned </li></ul> <p>Qualifications</p> <ul> <li>Minimum of 5 years' experience in claims processing </li><li>Proven leadership skills </li><li>Knowledge of Healthrules and CFMS </li><li>Excellent problem-solving skills </li><li>Excellent organizational skills and detail oriented </li><li>Excellent written and verbal communication skills </li><li>Familiarity with ICD-10 codes, CPT-4 codes, and HCPCS codes </li><li>The ideal candidate will have a college degree or similar experience </li></ul> <p>IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.</p> <p>Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.</p>