Medical Billing: Credit & Refund Analyst

Astera Cancer Care; Nashville (TN); On-site; USD 42,000 - 62,000; Full time

Job summary

OneOncology is seeking a detail‑driven Billing Specialist to evaluate credit balances and refund requests. The role requires coordination of benefits and accurate payment audits, with responsibility for preparing refund requests for approval and issuing payments or credits as needed.

Ideal candidates will have a year of medical billing experience, proficiency in CPT/HCPCS/ICD codes, strong communication skills, and solid MS Office usage.

Qualifications

• High School diploma or equivalent required.
• One year of billing-related experience preferred.
• Detailed knowledge of billing, HCPCS, CPT and ICD codes.
• Strong verbal and written communication skills.
• Proficient in MS Office and basic computer applications.

Responsibilities

• Evaluate daily credit balances created at payment posting.
• Research credits/refund requests to determine appropriate overpaid party.
• Prepare refund requests for approval and assist with check issuance or payer offset.
• Maintain batch files of completed requests and ensure correct processing of overpayments.
• Identify posting issues related to credit balances and inform Team Leader for audit purposes.
• Evaluate refund/overpayment requests and respond by refunding or disputing as needed.
• Transfer money when necessary via Issue Assistance.
• Refer to managed care profiles and AWP grids to determine legitimate credits.
• Coordinate with other departments to resolve credit balances or refunds.
• Complete a daily task log and submit to Team Leader monthly.

Skills

Medical billing

CPT/HCPCS/ICD coding

Attention to detail

Communication skills

MS Word, Excel, Outlook

Customer service

Education

High School diploma or equivalent

Tools

Excel

Outlook

Patient billing systems

Job description

OneOncology is seeking a detail‑driven Billing Specialist to evaluate credit balances and refund requests. The role requires coordination of benefits and accurate payment audits, with responsibility for preparing refund requests for approval and issuing payments or credits as needed.

Ideal candidates will have a year of medical billing experience, proficiency in CPT/HCPCS/ICD codes, strong communication skills, and solid MS Office usage.