Insurance and Refund Specialist Exact Billing Solutions(EBS)
Lauderdale Lakes, FL

Salary: $26 per hour

Who We Are

Exact Billing Solutions is a unique team ofrevenue cycle managementprofessionals specializing in the substance use disorder, mental health, and autismcarefields 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.

EBSis poised for exponential growth,andwe arebuilding outourteamsto supporttheexpansion ofglobal operations.

Part of the ICBDfamilyoffice portfolio, Exact BillingSolutionscombines 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.

Our Origin Story

Exact Billing Solutions was launched to address one of healthcares 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 toclientsacross specialties.

Recognition & Awards

Exact Billing Solutionscontributes heavily to the success of the broader ICBDfamily officeecosystemand benefits fromtherecognitionawarded to other portfolio companies, including:

• Inc. 5000, 2024 Top 5 Fastest-Growing Private Companies in America (ABA Centers of America)

• EY EntrepreneurOfTheYearU.S. Overall

• Florida Trend Magazine 500 Most Influential Business Leaders

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.

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; associates or bachelors 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 Benefits

• 21 paid days off (15 PTO days, increasing with tenure, plus 6 holidays)

• Flexible Spending Account (FSA) and Health Savings Account (HSA) options

• Medical, dental, vision, long-term disability, and life insurance

• Generous 401(k) with up to 6% employer match

About Exact Billing Solutions

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

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