Credit Balance Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Receive, evaluate, and process refund requests in alignment with payer regulations, internal protocols, and compliance standards.

• Accurately log and enter refund transactions into the billing system, ensuring thorough documentation and financial records that are ready for audits.

• Investigate account histories to confirm the legitimacy of refunds, sources of payments, EOB details, and the rationale behind overpayments.

• Engage with attorneys, no-fault insurance carriers, workers’ compensation representatives, and the VA to verify refund specifics or request supporting documents.

• Analyze Explanations of Benefits (EOBs) to establish refund justification and determine payment outcomes.

• Work collaboratively with the Payment Posting, Billing, QA, and Client Services teams to address discrepancies and ensure precise account adjustments.

• Process refunds within designated timeframes while achieving daily productivity targets and meeting departmental service-level standards.

• Maintain comprehensive notes that document actions taken, communications, and financial modifications.

• Identify discrepancies, trends, or recurring issues and escalate them to the Department Manager.

• Manage mail, emails, and refund correspondence with appropriate follow-up and documentation.

• Support adherence to HIPAA, payer, and internal compliance standards.

• Perform additional responsibilities as assigned.

⛳️ Requirements

• High School Diploma or its equivalent.

• Strong capability to multi-task and handle a high-volume workload while ensuring accuracy.

• Team-oriented individual who can effectively collaborate across internal departments and with external partners.

• Professional, approachable, and self-assured demeanor in both verbal and written communication.

• Ability to stay calm, organized, and focused under pressure.

• High level of computer proficiency, including the ability to work with dual monitors and navigate various systems simultaneously.

• Exceptional follow-through and problem-solving skills.

• Strong mathematical abilities and comfort in performing financial calculations.

• Proficient in reading and interpreting Explanations of Benefits (EOBs).

• Keen attention to detail and a commitment to maintaining accuracy.

• Capability to meet deadlines and uphold high productivity levels.

• Previous experience in handling refunds, payment posting, or medical billing is advantageous.

• Reliable, punctual, and accountable, demonstrating a strong work ethic.

• Ability to independently manage all facets of the job role, including required objectives and business practices in a remote setting.

🏝️ Benefits

• Competitive salary, based on experience.

• Comprehensive benefits package.

• 401(k) Plan.

• Remote work arrangement.