Medtronic Diabetes
Website:
medtronicdiabetes.com
Job details:
At MiniMed, you can begin a lifelong career of exploration and innovation, while helping make a difference in the lives of people living with diabetes around the globe. You'll lead with purpose, breaking down barriers to innovation for a more connected, compassionate world.
About The Role
A Day in the Life
Our Global Diabetes Capability Center in Pune is expanding to serve more people living with diabetes globally. Our state-of-the-art facility is dedicated to transforming diabetes management through innovative solutions and Technologies that reduce the burden of living with diabetes.
This role will provide support for MiniMed Order to Cash Process.
This position is an exciting opportunity to work with Minimed’s Diabetes business. Medtronic has announced its intention to separate the Diabetes division to promote future growth and innovation within the business and reallocate investments and resources across Medtronic, subject to applicable information and consultation requirements. This separation provides our team with a bold opportunity to unleash our potential, enabling us to operate with greater speed and agility. As a separate entity, we anticipate leveraging increased investments to drive meaningful innovation and enhance our impact on patient care.
Position: Refunds Executive
Role Summary
The Refunds Specialist is responsible for identifying, validating, and processing refunds related to patient and insurance overpayments, resolving credit balances, and ensuring compliance with payer, federal, and state regulations. The role demands strong analytical skills, attention to detail, and expertise in EOB/ERA interpretation, adjustments, and recoupment management.
Key Responsibilities
- Credit Balance Analysis
- Review and research patient and insurance credit balances across AR buckets.
- Validate root cause (duplicate payments, coordination of benefits, posting errors, fee schedule changes, payer takebacks/recoupments).
- Prevent inappropriate refunds by applying correct adjustments, transfers, or reversals per SOP.
- Refunds Processing
- Prepare and process patient and payer refunds after verification and required approvals.
- Create refund packets with supporting documentation (EOB/ERA, ledger, notes, approvals).
- Post refund transactions accurately in the billing system and reconcile with finance.
- Overpayments & Recoupments
- Investigate overpayments and manage payer recoupment requests/takebacks; coordinate offsets vs. check refunds.
- Liaise with payers for clarification, offsets, or appeal of erroneous recoupments.
- Work denials or corrected claims when refund is avoidable via re-billing.
- Compliance & Controls
- Ensure HIPAA compliance and maintain strict documentation standards.
- Adhere to CMS and payer guidelines for credit balance resolution
- Follow client SOPs for approval workflows, dollar thresholds, segregation of duties, and audit readiness.
- Stakeholder Coordination
- Partner with cash posting, AR follow‑up/denials, patient collections, and finance to resolve discrepancies.
- Communicate clearly with payers and patients on refund statuses or needed information.
- Escalate high‑value, aged, or complex items to leads/supervisors promptly.
- Reporting & Reconciliation
- Maintain daily/weekly trackers for refund pipeline, approvals, issued checks/EFTs, and pending items.
- Reconcile refund GL accounts with finance; support month‑end close activities.
- Contribute to credit balance aging reduction and first‑pass refund accuracy.
Key Skills & Competencies
- Strong knowledge of RCM credit balance workflows, EOB/ERA interpretation, adjustments, reversals, and transfers.
- Familiarity with payer policies on overpayments, COB, refunds vs. offsets, and recoupment timelines.
- Proficiency in billing/EMR systems and MS Excel; comfort with audit documentation.
- High attention to detail, analytical problem‑solving, and adherence to controls.
- Professional communication (voice and written); ability to work in a target‑driven environment.
Experience & Qualification
- 2–4 years in US Healthcare RCM with focus on refunds/credit balances/cash applications.
- Graduation in any discipline (finance/accounting/healthcare background preferred).
- Experience with physician or hospital billing (UB‑04/HCFA‑1500), and common payers (Medicare, Medicaid, BCBS, UHC, Aetna, etc.) is a plus
Physical Job Requirements
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.
Benefits & Compensation
MiniMed offers a competitive salary and flexible benefits package
At MiniMed, we put people first. A commitment to our employees lives at the core of our values: We recognize their contributions. They share in the success they help create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every stage of your career and life.
About MiniMed
We want to make every day a better day for people living with diabetes. Our team of creative innovators around the globe share a passion for finding the simplest solutions to the problems that people with diabetes face on a daily basis. For more than 40 years, we've been redefining what's possible, from intelligent dosing systems designed for real life to predictive insights that stay a step ahead, and we're dedicated to continuing to support our customers through every step of their journey — meeting them where and how they need it.
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