Credit Balance Resolution Specialist

Job Summary

Resolving complex credit balance accounts in a high-volume, metrics-oriented environment, the full-time remote Credit Balance Resolution Specialist will analyze patient accounts, identify root causes of credit balances, and coordinate with various departments to ensure accurate resolution and prevent inappropriate refunds.

Key responsibilities:

• Analyze patient accounts with credit balances and validate overpayment accuracy
• Identify root causes of credit balances, including posting errors and contract variances
• Communicate professionally with insurance companies and internal departments regarding credit balance inquiries

Required qualifications:

• High School Diploma or GED
• 4-7 years of hospital and/or physician accounts receivable experience with credit balance resolution responsibilities
• Experience with facility (UB-04) and professional (CMS-1500) credit balance resolution preferred
• CRCR (Certified Revenue Cycle Representative) or equivalent certification preferred
• Strong analytical skills to interpret EOBs, remittances, and payment documentation