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Insurance Refund Specialist Jobs (NOW HIRING)

Insurance Refund Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL Salary: $26 per hour Who We Are Exact Billing Solutions is a unique team of revenue cycle management professionals ...

Refund Specialist

Columbus, OH ยท On-site

$23.28 - $26.19/hr

STRS Ohio, STRS STRS Ohio is seeking a Refund Specialist to join the Finance/Employer Reporting ... medical insurance, fully paid dental and life insurance, vacation and sick leave, retirement ...

Responsibilities Processes payor correspondence and refund requests through extensive phone, fax ... Qualifications REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of ...

Refund Specialist

Columbus, OH ยท On-site

$23.28 - $26.19/hr

STRS Ohio, STRS STRS Ohio is seeking a Refund Specialist to join the Finance/Employer Reporting ... medical insurance, fully paid dental and life insurance, vacation and sick leave, retirement ...

Medical, Dental, Vision, Flexible Spending Accounts, PTO, 401(k), EAP, Life Insurance, Long Term ... Compiles and submits patient and insurance refunds according to established policy and procedure ...

Responsibilities Processes payor correspondence and refund requests through extensive phone, fax ... Qualifications REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of ...

Responsibilities Processes payor correspondence and refund requests through extensive phone, fax ... Qualifications REQUIRED: 1. 1 year insurance collections/ AR receivables experience or 2 years of ...

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Insurance Refund Specialist information

See salary details

$15

$24

$36

How much do insurance refund specialist jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for insurance refund specialist in the United States is $24.06, according to ZipRecruiter salary data. Most workers in this role earn between $19.23 and $30.29 per hour, depending on experience, location, and employer.

What is the difference between Insurance Refund Specialist vs Insurance Claims Processor?

AspectInsurance Refund SpecialistInsurance Claims Processor
CredentialsHigh school diploma, certifications in insurance or customer serviceHigh school diploma, insurance certifications often preferred
Work EnvironmentOffice setting, customer service interactions, claims reviewOffice environment, data entry, claims assessment
Employer & IndustryInsurance companies, third-party administratorsInsurance companies, healthcare providers
Primary FocusProcessing refunds and resolving billing issuesEvaluating and processing insurance claims

The main difference is that Insurance Refund Specialists focus on handling refunds and billing disputes, while Insurance Claims Processors evaluate and process insurance claims. Both roles require similar certifications and work in insurance settings, but their core responsibilities differ, with Refund Specialists concentrating on refunds and Claims Processors on claim evaluation.

What does an Insurance Refund Specialist do?

An Insurance Refund Specialist is responsible for processing and managing refunds related to overpayments or adjustments on insurance claims. They review account information, verify overpayments, and ensure that refunds are accurately issued to patients or insurance companies. Their role involves communication with insurance providers, patients, and internal billing departments to resolve discrepancies and maintain accurate financial records. Attention to detail, knowledge of insurance policies, and strong organizational skills are essential for this position.

What are some of the most common challenges faced by Insurance Refund Specialists, and how can they be addressed?

Insurance Refund Specialists often encounter challenges such as navigating complex billing systems, resolving discrepancies between insurance payments and billed amounts, and communicating with both insurance companies and patients to clarify refund details. Staying organized and detail-oriented is essential for managing multiple accounts and ensuring timely processing of refunds. Building strong relationships with colleagues in billing, finance, and customer service departments can help streamline workflows and resolve issues efficiently.

What are the key skills and qualifications needed to thrive as an Insurance Refund Specialist, and why are they important?

To thrive as an Insurance Refund Specialist, you need a solid understanding of medical billing, insurance claim processing, and healthcare reimbursement policies, typically supported by experience in medical office administration or a related field. Familiarity with practice management software, electronic health record (EHR) systems, and insurance portals is essential, and a Certified Professional Biller (CPB) or similar certification can be advantageous. Attention to detail, strong organizational skills, and effective communication are important soft skills for accurately resolving refunds and coordinating with patients and insurance providers. These skills and qualifications are crucial for ensuring accurate financial transactions, minimizing errors, and maintaining compliance within healthcare revenue cycle operations.
More about Insurance Refund Specialist jobs
What cities are hiring for Insurance Refund Specialist jobs? Cities with the most Insurance Refund Specialist job openings:
What states have the most Insurance Refund Specialist jobs? States with the most job openings for Insurance Refund Specialist jobs include:
Infographic showing various Insurance Refund Specialist job openings in the United States as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $50,041 per year, or $24.1 per hour.

Insurance Refund Specialist

ICBD

Lauderdale Lakes, FL โ€ข On-site

$26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

Insurance Refund Specialist - Exact Billing Solutionsย (EBS)ย 
Lauderdale Lakes, FLย 

Salary: $26 per hour

Who We Areย 

Exact Billing Solutions is a unique team ofย revenue cycle managementย professionals specializing in the substance use disorder, mental health, and autismย careย fields of healthcare services. We have extensive industry knowledge, a deep understanding of the specific challenges of these markets, and a reputation for innovation. With our proprietary billing process, EBS is the oil that brings life to the engines of its partner healthcare companies.ย 

EBSย is poised for exponential growth,ย andย we areย building outย ourย teamsย to supportย theย expansion ofย global operations.ย 

Part of the ICBDย familyย office portfolio, Exact Billingย Solutionsย combines entrepreneurial speed with the financial discipline of a self-funded, founder-led organization. Our growth reflects a proven ability to solve complex healthcare challenges with operational precision, scalable systems, and client-first innovation.ย 

Our Origin Storyย 

Exact Billing Solutions was launched to address one of healthcare's most persistent challenges: the burden of billing and insurance administration on providers. With firsthand knowledge of how inefficiencies in revenue cycle management drain resources from patient care, our founder built a company dedicated to removing obstacles, accelerating cash flow, and delivering peace of mind toย clientsย across specialties.ย 

Recognition & Awardsย 

Exact Billing Solutionsย contributes heavily to the success of the broader ICBDย family officeย ecosystemย and benefits fromย theย recognitionย awarded to other portfolio companies, including:ย 

  • Inc. 5000, 2024ย - Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)ย 
  • EY Entrepreneurย Ofย Theย Yearย U.S. Overallย 
  • Florida Trend Magazineย - 500 Most Influential Business Leadersย 

About the Role

The Insurance Refund Specialist is responsible for reviewing, processing, appealing, and reconciling insurance overpayments and refunds within a healthcare organization. This role ensures compliance with payer regulations, internal policies, and accounting standards while maintaining accurate financial records. The specialist works closely with billing, collections, and accounting departments to identify and resolve credit balances in patient and insurance accounts.

The principal functions of the position identified shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.ย 

Key Responsibilities

The following are duties and responsibilities that the Insurance Refund Specialist shall provide:

  • Review insurance and patient accounts for credit balances and determine refund eligibility.
  • Research and analyze overpayments, duplicate payments, and payment posting errors.
  • Process refund requests in accordance with payer guidelines, organizational policies, and regulatory requirements.
  • Prepare and submit refund checks or electronic refund requests to insurance carriers or patients.
  • Communicate with insurance companies to confirm refund requirements and resolve discrepancies.
  • Document all refund and adjustment activities in the practice management or billing system.
  • Maintain compliance with HIPAA, payer contracts, and federal/state regulations related to refunds and overpayments.
  • Participate in audits and provide supporting documentation as needed.
  • Assist in developing and improving refund workflows to enhance efficiency and accuracy

Requirements

Qualifications

  • The Insurance Refund Specialist requires a minimum of a(n):
  • High school diploma or equivalent required; associate's or bachelor's degree in healthcare administration, accounting, or related field preferred.
  • 2+ years of experience in medical billing, insurance, or managed care industry settling patient accounts or a related healthcare area
  • Experience with insurance refund processing, credit balance resolution, and payer correspondence preferred.
  • Strong analytical and problem-solving abilities.
  • Excellent attention to detail and organizational skills.
  • Proficiency in medical billing software and electronic health record (EHR) systems.
  • Knowledge of CPT, ICD-10, and insurance payment posting processes.
  • Ability to interpret Explanation of Benefits (EOBs) and payer remittance advice.
  • Effective written and verbal communication skills.

Benefits

Outstanding Benefitsย 

  • 21 paid days off (15 PTO days, increasing with tenure, plus 6 holidays)ย 
  • Flexible Spending Account (FSA) and Health Savings Account (HSA) optionsย 
  • Medical, dental, vision, long-term disability, and life insuranceย 
  • Generous 401(k) with up to 6% employer matchย 

About Exact Billing Solutionsย 

Exact Billing Solutions is committed to building a culture of professionalism, accountability, and operational excellence. We believe billing is more than a back-officeย function-it'sย a vital part of delivering quality healthcare. By hiring individuals with the right blend ofย expertise, integrity, and client focus, we empower providers to thrive while making the business of healthcare more efficient and sustainable.ย 

Join our mission and help transform healthcare billing with precision and purpose!ย