Credit Balance Specialist

Job Summary

Working remotely, the full-time Credit Balance Specialist will ensure accurate and timely processing of refunds, validate transactions, and collaborate with internal teams and external stakeholders to maintain compliance with payer regulations.

Key responsibilities:

• Receive, review, and process refund requests in accordance with payer rules and internal procedures
• Accurately post and record refund transactions, ensuring proper documentation and audit-ready financial records
• Communicate with external stakeholders to confirm refund details and request supporting documentation as needed

Required qualifications:

• High School Diploma or equivalent
• Previous experience handling refunds, payment posting, or medical billing is helpful
• Strong mathematical skills and comfort handling financial calculations
• Proficiency in reading and interpreting Explanations of Benefits (EOBs)
• Ability to independently manage all aspects of the job role in a remote environment