# Refund Collection Analyst **Company**: Evernorth Health Services **Location**: Florida Work at Home **Job type**: full-time **Category**: Finance **Industry**: Healthcare **Apply**: https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Florida-Work-at-Home/Refund-Collection-Analyst---Remote_26013575?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/job/refund-collection-analyst-088d16f4-40d/ ## Description The Refund Collection Analyst provides day-to-day operational support and leadership within RCM Refunds and Billing. Responsibilities: - Lead patient and payer refund processing in accordance with RCM policies, payer guidelines, and internal controls. - Resolve complex refund, billing, and claim-related issues, including overpayments, duplicate payments, improper charges, and payment discrepancies. - Perform account reconciliations to identify and resolve discrepancies, unapplied payments, credit balances, and other outstanding account issues. - Audit patient and payer accounts to identify billing errors, validate transactions, determine refund eligibility, and initiate appropriate corrective actions. - Monitor refunds and billing-related complaints, reconciliation issues, and workflow trends, escalating systemic or recurring issues to management. - Partner cross-functionally with RCM, Finance, Enrollment, Billing, and Customer Service to resolve refund, billing, payment, and reconciliation issues and improve operational processes. - Serve as an escalation resource for complex refund, billing, and account reconciliation matters while supporting day-to-day workflow needs. - Track refund volumes, reconciliation results, audit findings, aging, and operational trends and provide updates to management during weekly and month-end reporting. - Provide audit feedback, process guidance, and remedial training to team members as needed. - Support workflow standardization by identifying process gaps, recommending improvements, and helping ensure established procedures and internal controls are followed. - Complete day-to-day Enrollment/Billing responsibilities independently, with access to management or more experienced team members for guidance on complex or unusual matters. - Complete other projects and duties as assigned. Qualifications: - Must be a current employee or contractor with The Cigna Group, Evernorth Health Services, or one of their subsidiaries. - High school diploma or GED required; Bachelor's degree in finance or related field preferred. - MDLive experience preferred. - Working knowledge of RCM refund policy. - Strong analytical and problem-solving skills with the ability to identify effective and efficient solutions. - Experience reviewing financial transactions and resolving billing or payment discrepancies is preferred. - Proficiency in working with Microsoft Office products: Excel, Word. - Working knowledge of Health Insurance EOB's. - Ability to meet assigned deadlines. - Strong understanding of the claims cycle. - Capable of finding effective and efficient solutions to challenges. - Must be able to work in a fast-paced, high-volume work environment. For more fresh new jobs, check out [yubhub.co](https://yubhub.co/). ## Skills ### Required - RCM refund policy - analytical and problem-solving skills - Microsoft Office products: Excel, Word - Health Insurance EOB's - claims cycle ### Nice to have - MDLive experience - experience reviewing financial transactions and resolving billing or payment discrepancies --- Source: [Apply at cigna.wd5.myworkdayjobs.com](https://cigna.wd5.myworkdayjobs.com/en-US/cignacareers/job/Florida-Work-at-Home/Refund-Collection-Analyst---Remote_26013575?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)