Credit Balance Specialist
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Job Description
Credit Balance Specialist processing refunds and maintaining accurate financial records for Digitech’s outsourced EMS billing technology services. Coordinating with payers, attorneys, government entities, and internal revenue-cycle teams.
Responsibilities:
- Receive, review, and process refund requests in accordance with payer rules, internal procedures, and regulatory requirements
- Accurately post and record refund transactions in the billing system, ensuring proper documentation and audit-ready financial records
- Research account histories to verify refund validity, payment sources, EOB details, and overpayment rationale
- Communicate with attorneys, no-fault carriers, workers’ compensation representatives, and the VA to confirm refund details or request supporting documentation
- Interpret Explanations of Benefits (EOBs) to determine refund justification and payment disposition
- Collaborate with Payment Posting, Billing, QA, and Client Services teams to resolve discrepancies and ensure accurate account adjustments
- Process refunds within required timeframes while meeting daily productivity goals and departmental service-level expectations
- Maintain detailed notes documenting actions taken, communication, and financial adjustments
- Identify discrepancies, patterns, or repeat issues and escalate them to the Department Manager
- Handle mail, emails, and refund correspondence with proper follow-through and documentation
- Support compliance with HIPAA, payer, and internal standards
- Perform additional duties as assigned
Requirements:
- High School Diploma or equivalent
- Strong ability to multi-task and manage a high-volume workload while maintaining accuracy
- Collaborative team player capable of working effectively across internal departments and with external partners
- Professional, pleasant, and confident demeanor in verbal and written communication
- Ability to remain calm, organized, and focused under pressure
- High computer literacy, including ease working with dual monitors and navigating multiple systems simultaneously
- Excellent follow-through and problem-solving abilities
- Strong mathematical skills and comfort handling financial calculations
- Proficiency in reading and interpreting Explanations of Benefits (EOBs)
- Strong attention to detail and commitment to accuracy
- Ability to meet deadlines and maintain high productivity
- Previous experience handling refunds, payment posting, or medical billing is helpful
- Dependable, punctual, and accountable with a strong work ethic
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
Benefits:
- Competitive salary, commensurate with experience
- Comprehensive benefits package
- 401(k) Plan
- Remote work arrangement
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