Credit Balance Resolution Specialist (Refunds/Overpayments) | Contract - Dallas, TX
RPC Company · Farmers Branch, TX · 2 wk ago
On-siteAccounting$22.72–$24.45/hrContract
Local candidates only – must be able to commute to Dallas, TX 75234 for two weeks of onsite training before transitioning to remote work.
About the role
Award-winning healthcare organization is seeking an experienced Credit Balance Specialist to monitor credits, assist with overpayments on claims, and process insurance refunds. This is a one-year contract position starting within 1–2 weeks.
Schedule
- Monday to Friday, 8:00 AM – 5:00 PM
- First two weeks onsite in Dallas; remote thereafter
Pay
$22.72 – $24.45 per hour, based on experience
Responsibilities
- Key charges and post payments
- Call insurance companies (e.g., Medicare, Novitas) to obtain claim status and eligibility
- Review and analyze Explanation of Benefits (EOBs)
- Identify credits and overpayments; determine root cause and steps to dispute
- Perform detailed account credit reviews to determine refund recipients and execute refunds
- Read and analyze remittances
- Perform account reconciliation
- Apply knowledge of modifiers, global periods, and medical necessity guidelines
- Navigate insurance guidelines, with emphasis on Medicare and Medicaid
- Utilize medical billing software and payor website portals
- Adhere to HIPAA regulations
Requirements
- Minimum of 2 years in a medical billing environment working with claims, billing, and payment posting
- Experience with health insurance billing software and web-based systems
- Intermediate Microsoft Office (Word, Excel, Outlook) skills
- Strong understanding of accounts receivable (A/R) and collection best practices
- Proficiency in reading and analyzing remittances
- Basic knowledge of accounting or account reconciliation
- Familiarity with medical terminology and abbreviations
- Excellent written and oral communication skills
- High degree of accuracy, integrity, and professionalism
- Self-starter with strong problem-solving, analytical, organizational, and time-management skills
- Reliable home office setup (good internet, quiet environment)
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- Supplemental insurance (no cost)
- Health Savings Account (HSA)
- Employee Assistance Program (FSA)
- Paid time off
- Referral program
- Paid weekly on Fridays
- Laptop and equipment provided after onsite training