Refund/Credit Balance Specialist

About the role

The Refund/Credit Balance Specialist is responsible for ensuring all outstanding credits tied to a specific accession are researched to validate any refund needed back to the patient, payor, and/or client. This is done by reviewing all corresponding EOB’s, patient payments, and/or client invoices. This role requires a strong team player, who can partner with others to share information. You will also be highly organized with excellent follow-up and comfortable in a fast-paced environment.

Responsibilities

• Oversite and management of vendor clarifications and timely turnaround time on all outstanding credit balance accounts
• Aid in monitoring production and quality assurance for vendor and work assigned
• Work all escalated accounts in a timely manner
• Maintain compliance based on XIFIN and governmental guidelines to ensure no more than a 60-day turnaround time, depending on payor
• Make calls to payors when unclear on who should be refunded based on documentation in review
• Understand regulations at a payor level pertaining to credit balance procedures & processes

Requirements

• High School diploma required, Associate degree or higher preferred
• 1-year related experience in medical field
• Professional working experience in MS Suite
• Understanding of medical terminology

Qualifications

• Detail-oriented, organized, and proactive
• Communicate clearly and confidently, both in writing and in conversation
• Eager to learn, ask great questions, and work with others to solve problems
• Possess the ability to translate technical concepts to a non-technical audience
• Identify denial issues from insurance payors

Skills and experience

• High School diploma required, Associate degree or higher preferred
• 1-year related experience in medical field
• Professional working experience in MS Suite
• Understanding of medical terminology

Benefits

• Comprehensive health benefits including medical, dental, vision, and telehealth
• 401(k) with company match and personalized financial coaching to support your financial future
• Health Savings Account (HSA) with company contributions
• Wellness incentives that reward your preventative healthcare activities
• Tuition assistance to support your education and growth
• Flexible time off and company-paid holidays
• Social and fun events to build community at our locations!

Pay

The expected hourly range for this role is $20 to $24, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for either a Refund/Credit Balance Specialist or Sr. Refund/Credit Balance Specialist title. Final compensation will be determined during the selection process and may vary accordingly.

Schedule

This position will be located at our offices in Charleston, SC.

Accessibility & Accommodations

We’re committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at 858-436-2900.

Equal Opportunity Employer

XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law.