“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 Title: Medical Billing Executive – Refund Process
Process: US Healthcare – RCM (Revenue Cycle Management)
Experience: Fresher / Experienced
Shift: Night Shift (US Shift)
- 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.
- 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.
- Any Graduate (Life Science preferred but not mandatory).
- Medical billing certification is an added advantage.
- Experience in Refunds / Payment Posting / AR Calling is preferred.
- 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.
