Job Title: Government Refund Specialist
Contract Duration: 1 year, possible extension
Location: Chicago, IL
Work Arrangement: Onsite
Pay Rate: $25/hour plus benefits
Note: US citizen of GC holders only
Summary
The Government Refund Specialist is responsible for researching, analyzing, and resolving claim overpayments and open accounts receivable (AR) inventory. This role performs detailed reviews within claims, imaging, and financial systems to ensure funds are available, accurately applied, and properly reconciled. The specialist supports the recovery process by investigating refund requests, processing manual adjustments, and resolving outstanding balances while providing excellent customer service to providers and members.
Responsibilities
- Research and resolve claim overpayments and open accounts receivable (AR) inventory.
- Review claims systems, imaging systems, and financial reports to verify fund availability and ensure transactions are accurately applied and cleared.
- Investigate and process solicited and unsolicited refund requests received through written correspondence.
- Perform manual adjustments as needed to support refund and recovery activities.
- Research and resolve provider and member account receivable and payable discrepancies.
- Analyze outstanding balances and take appropriate action to ensure timely resolution.
- Conduct reconciliations, research, analysis, and other special projects as assigned.
- Maintain accuracy, compliance, and attention to detail while managing high-volume workloads.
Qualifications
- Strong analytical and problem-solving skills.
- Experience researching and resolving account receivable and payable issues.
- Ability to interpret financial reports, claims data, and supporting documentation.
- Proficient in navigating multiple systems, including claims, imaging, and financial applications.
- Customer-focused with the ability to communicate effectively with providers, members, and internal stakeholders.
- Strong organizational skills with the ability to manage multiple priorities and meet deadlines.
- High attention to detail and commitment to accuracy.