Team Lead Refunds - US Medical Claim

Strivant Health

Mysuru

On-site

INR 800,000 - 1,200,000

Full time

8 days ago
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Job summary

Strivant Health in Mysuru, India, is seeking a Team Lead-Refunds to oversee physician revenue cycle refunds, mentor staff, and ensure accurate processing of patient and payer credits. This onsite role combines leadership, quality oversight, and hands-on production support in a fast-paced medical billing environment.

You will lead refunds submissions, audits, and follow-up, collaborate with clinics and offshore teams, ensure HIPAA compliance, and drive process improvements.

Qualifications

  • Leadership and team management experience required.
  • Experience in medical billing refunds or AR operations.
  • Strong English communication and documentation skills.
  • Knowledge of HIPAA and regulatory requirements.

Responsibilities

  • Lead refunds team to achieve productivity, quality, and accuracy goals.
  • Oversee complex credit balance research and refunds workflow.
  • Coordinate with clinics, payers, and offshore teams for timely processing.
  • Monitor workloads, follow-ups, and refund trackers; conduct QA reviews.
  • Identify data gaps, drive corrective actions, and support onboarding.

Skills

Leadership
Refunds knowledge
Quality oversight
Mentoring
Attention to detail

Education

High school diploma
Bachelor's degree preferred

Tools

Microsoft Excel
Outlook
Word

Job description

Team Lead- Refunds - Physician Revenue Cycle Management Medical Claims Services

Location: All shifts work onsite in our Mysore India office located at: 3rd FLOOR, 828 and 829, Vijayanagara I Stage, Devaraja Mohalla Mysuru, Karnataka 570017.

Hours: Monday - Friday from 8:00 am - 5:00 pm, IST

Full-time

Find out more about our culture at: https://strivanthealth.com/careers/

Strivant Health is a fast-growing Medical Billing/Revenue Cycle Management company. We partner with physician practices to improve revenue cycle operations by optimizing people, processes, and technology. We provide Coding, Medical Billing, AR Follow-up Collections, Call Centers, Cash Applications, Patient Access, Authorizations, Credentialing, and Analytics designed to maximize our provider clients’ revenue. This allows our client providers to stay focused on the practice of medicine rather than the business of medicine. We have worked with over 10,000 providers representing 32+ specialties and over 30+ technology platforms in our 20+ years of business.

At Strivant Health, accurate and timely refund processing is essential to maintaining compliant account balances and delivering a positive experience for patients and clients. As a Refunds Team Lead you will provide leadership, coaching, training, and operational support for team members responsible for researching credit balances and processing patient and third-party payer refunds.

This role combines team leadership, quality oversight, workflow management, and hands‑on production support. You will oversee refund submissions, documentation, approvals, follow‑up activities, and completed refund reconciliation. You will also help team members resolve complex refund issues, identify error trends, strengthen internal controls, and implement process improvements.

The ideal candidate is analytical, highly detail‑oriented, and passionate about developing team members while maintaining accuracy, compliance, and timely refund resolution.

What You’ll Do - Your Impact Matters
  • Lead, coach, mentor, and develop Refunds team members to achieve productivity, quality, accuracy, and service goals.
  • Serve as a primary resource for complex credit balance research, refund workflow questions, escalations, and account discrepancies.
  • Oversee the research, auditing, and processing of refunds for patients and third‑party payers.
  • Monitor daily workloads, outstanding refunds, follow‑up activities, refund trackers, and approval statuses.
  • Conduct quality reviews of refund packets to ensure complete and accurate supporting documentation.
  • Identify missing or inaccurate information and communicate required corrections to clinics, clients, and internal teams.
  • Monitor credit balances and determine whether accounts are eligible for refunds or require another resolution.
  • Ensure approved credits are properly cleared from applicable systems and completed refunds are reconciled.
  • Help prevent duplicate refund requests through effective auditing, tracking, and review controls.
  • Collaborate with offshore team members to review daily refund submissions and provide coaching when concerns are identified.
  • Support client signature and approval processes and track refund packets through completion.
  • Oversee monthly credit reporting and follow‑up with clinics or internal teams on outstanding items.
  • Monitor patient refund status communications through approved email or SMS methods.
  • Assist with workload distribution, backlog resolution, and hands‑on production support during peak volumes or staffing shortages.
  • Analyze refund errors and quality trends, identify root causes, and implement corrective actions and process improvements.
  • Support onboarding, employee training, cross‑training, SOP development, and ongoing team development.
  • Generate reports and monitor performance metrics related to refunds, credit balances, outstanding items, quality, and productivity.
  • Collaborate with clients, accounting, and cross‑functional revenue cycle teams to resolve discrepancies and improve refund workflows.
  • Ensure refund activities comply with HIPAA and other applicable regulatory and organizational requirements.
  • Support special projects and other operational responsibilities assigned by management.
What You Bring to the Table
  • High school diploma or equivalent required. Bachelor’s degree in healthcare, finance, accounting, business, or a related field preferred.
  • Minimum 3 years of experience in medical billing refunds, credit balance resolution, payment posting, or medical accounts receivable operations.
  • At least 1 year of leadership, mentoring, team lead, supervisory, or demonstrated internal mentorship experience preferred.
  • Strong understanding of patient and insurance refunds, credit balances, medical terminology, reimbursement processes, and payer requirements.
  • Experience reviewing refund packets, identifying documentation errors, reconciling completed refunds, and preventing duplicate requests.
  • Experience performing quality reviews, identifying error trends, and implementing corrective actions or process improvements.
  • Ability to analyze ledgers, credits, account activity, and supporting documentation to resolve discrepancies.
  • Strong attention to detail, analytical thinking, organizational skills, and problem‑solving ability.
  • Excellent written and verbal English communication skills.
  • Intermediate proficiency with Microsoft Office applications, including Excel, Outlook, and Word.
  • Ability to manage competing priorities, meet deadlines, and work effectively in a fast‑paced environment.
  • Ability to communicate directly, professionally, and empathetically with team members, clients, clinics, patients, and internal departments.
  • Passion for developing team members and driving operational excellence.
Why Join Us?
  • Make a Real Impact – Your work directly influences cash flow and financial health for healthcare providers.
  • A Culture of Excellence – We value accuracy, innovation, and teamwork.
  • A Supportive Team – Work with like‑minded professionals who understand the complexities of revenue cycle management.
  • Opportunities to drive change and improve processes for greater efficiency.

Find out more about our culture at: https://strivanthealth.com/careers/

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