Insurance Reimbursement Specialist (Duplicate Payments)

Responsibilities

• Review insurance claims, billing, and payment data to identify potential duplicate payments
• Confirm whether providers were paid by both a health plan and another payer (auto, workers’ compensation, or liability carriers)
• Contact providers to request refunds for verified overpayments and duplicate reimbursements and follow through until funds are received
• Track recovery activity through completion and ensure accurate posting of returned funds
• Receive, review, and document refund payments and remittance advice
• Research returned reimbursements and validate root causes
• Partner with internal reimbursement, revenue cycle, and payer operations teams to surface new recovery opportunities
• Maintain clear, accurate case notes and communication records in claims or recovery systems
• Support productivity and financial recovery goals for assigned workloads

Qualifications

• 3+ years’ experience in medical billing, insurance claims, revenue cycle management, post-pay audit, coordination of benefits, or subrogation
• Familiarity with payer workflows, EOBs, and provider billing practices
• Experience working in claims systems or billing platforms
• Strong written, verbal, and phone-based communication skills
• Highly organized and comfortable managing steady case volumes
• Detail-oriented with a proactive, persistent follow-up style
• Able to work independently while collaborating with teammates

Pay

On-Target Earnings (OTE): $48,000 – $60,000 annually (includes base salary plus performance-based commission)

Benefits

• Medical Insurance
• Dental & Vision Insurance
• Industry leading health & wellness benefits
• 401(K) retirement plan
• Competitive Paid Time Off