Billing Executive

Firstsource

“Firstsource Solutions Limited, an RP-Sanjiv Goenka Group company is a global leader providing business process solutions and services spanning the customer lifecycle across Healthcare, Banking and Financial Services, Communications, Media and Technology, Retail, and other diverse industries. With a global footprint across US, UK, India, Philippines, Mexico, Romania, Turkey, Trinidad & Tobago, South Africa, and Australia, they ‘make it happen’ for their clients, solving their biggest challenges with hyper-focused, domain-centered teams and cutting-edge tech, data, and analytics. Firstsource’s inch-wide, mile-deep practitioners work collaboratively, leveraging UnBPO - their differentiated approach to reimagining traditional outsourcing - to deliver real-world, future-focused solutions that drive speed, scale, and smarter decision, turning transformation into tangible results for clients.”

Job Description – Medical Billing (US Healthcare – Refund Process)

Job Title: Medical Billing Executive – Refund Process

Process: US Healthcare – RCM (Revenue Cycle Management)

Experience: Fresher / Experienced

Shift: Night Shift (US Shift)

Roles & Responsibilities

Review credit balances in patient accounts and identify refund opportunities.
Process patient and insurance refunds based on overpayments.
Verify refund eligibility as per client policies and compliance guidelines.
Work on refund requests received from insurance companies and patients.
Perform account research to validate overpayments.
Coordinate with AR, Payment Posting, and Billing teams for resolution.
Prepare refund request forms and supporting documentation.
Update refund status in billing software.
Ensure HIPAA compliance while handling patient data.
Meet productivity and quality targets.
Maintain proper documentation for audit purposes.

Required Skills:

Basic knowledge of US Healthcare Medical Billing.
Understanding of EOB (Explanation of Benefits).
Knowledge of CPT, ICD, and HCPCS codes (basic level).
Good analytical and problem-solving skills.
Good communication skills.
Knowledge of MS Excel.
Attention to detail.

Preferred Qualifications:

Any Graduate (Life Science preferred but not mandatory).
Medical billing certification is an added advantage.
Experience in Refunds / Payment Posting / AR Calling is preferred.

Key Performance Indicators (KPI):

Productivity targets.
Quality score.
TAT (Turnaround Time).
Compliance adherence.

Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or @firstsource.com email addresses.