Jobs · Accounting · Texas

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

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