Government Refund Specialist

EPITEC; Chicago (IL); On-site; USD 30,000 - 39,000; Full time

Job summary

EPITEC is seeking a Government Refund Specialist in Chicago, IL for a 1-year, onsite contract. The role focuses on researching, analyzing, and resolving claim overpayments and open AR, ensuring funds are accurately applied and reconciled, while delivering excellent customer service to providers and members.

The specialist will review claims, imaging, and financial systems, process refund requests, and perform manual adjustments to support the recovery process.

Qualifications

• Experience researching and resolving AR/payable issues.
• Ability to interpret financial reports, claims data, and supporting documentation.
• Proficient in navigating multiple systems, including claims, imaging, and financial applications.
• Strong analytical and problem-solving skills.
• High attention to detail and commitment to accuracy.

Responsibilities

• Research and resolve claim overpayments and AR inventory.
• Review claims, imaging, and financial reports to verify fund availability and accuracy.
• Investigate and process refund requests received through written correspondence.
• Perform manual adjustments to support refund and recovery activities.
• Research provider and member AR and payable discrepancies.
• Analyze outstanding balances and take action for timely resolution.
• Conduct reconciliations, research, and other special projects.

Skills

Analytical skills

Attention to detail

Communication with providers/members

Multisystem navigation

Tools

Claims system navigation

Imaging system

Financial applications

Job description

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.