Dental Payments & Refunds Specialist

Specialty Dental Brands; United States; Remote; USD 50,000 - 70,000; Full time

Benefits offered by this job

Competitive compensation

401(k) with company match

Paid Time Off and paid holidays

Opportunities for professional growth

A supportive, collaborative culture

Job summary

Specialty Dental Brands (SDB) is seeking a Refund Specialist to research credit balances, validate overpayments, and process refunds across dental practices nationwide. You will collaborate with internal teams, insurance carriers, and practice leaders while ensuring compliance with HIPAA and company policies.

Ideal candidates have strong attention to detail, solid Excel skills, and experience in dental or healthcare billing.

Qualifications

• High school diploma or equivalent required; associate degree in accounting, finance, healthcare administration, or a related field preferred.
• Previous experience in dental or healthcare billing, payment posting, refunds, accounts receivable, or revenue cycle management preferred.
• Proficiency in Microsoft Excel, Outlook, and other Microsoft Office applications.

Responsibilities

• Review patient and insurance credit balances to determine whether a refund is appropriate.
• Research account activity, payments, adjustments, contractual allowances, and insurance explanations of benefits.
• Validate overpayments and process patient and insurance refunds accurately and within established timelines.
• Review payer recoupment requests and confirm that all required documentation is complete and accurate.
• Reconcile refund transactions and maintain clear supporting documentation within the appropriate systems.
• Identify duplicate payments, posting errors, unapplied funds, and other discrepancies affecting account balances.
• Communicate with insurance carriers, patients, practice teams, and internal departments to resolve refund-related questions.
• Monitor assigned refund queues and aging reports to ensure accounts are reviewed and resolved promptly.
• Escalate complex account discrepancies or potential compliance concerns to the appropriate leadership team.
• Protect confidential patient and financial information while following HIPAA requirements and company policies.
• Support audits by providing accurate documentation and transaction histories.
• Assist with process improvements that increase accuracy, efficiency, and consistency across the refund workflow.
• Meet established productivity, quality, and turnaround-time expectations.

Skills

Attention to detail

Communication

Multitasking

HIPAA compliance

Education

Associate degree in accounting or related field

Tools

Microsoft Excel

Office software

Job description

Specialty Dental Brands (SDB) is seeking a Refund Specialist to research credit balances, validate overpayments, and process refunds across dental practices nationwide. You will collaborate with internal teams, insurance carriers, and practice leaders while ensuring compliance with HIPAA and company policies.

Ideal candidates have strong attention to detail, solid Excel skills, and experience in dental or healthcare billing.