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Credit Balance Representative Jobs (NOW HIRING)

Carle Health

Credit Balance Analyst 1

Champaign, IL · On-site

$16.29 - $26.39/hr

Overview The Credit Balance Specialist 1 position will be responsible for analyzing and resolving ... This represents a good faith minimum and maximum range for the role at the time of posting by Carle ...

Carle Health

Credit Balance Analyst 1

Champaign, IL · On-site

$16.29 - $26.39/hr

Overview The Credit Balance Specialist 1 position will be responsible for analyzing and resolving ... This represents a good faith minimum and maximum range for the role at the time of posting by Carle ...

Carle Health

Credit Balance Analyst 1

Champaign, IL · On-site

$16.29 - $26.39/hr

OverviewThe Credit Balance Specialist 1 position will be responsible for analyzing and resolving ... This represents a good faith minimum and maximum range for the role at the time of posting by Carle ...

Wilks Brothers

Senior Credit Workout Specialist

Fort Worth, TX · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... due balances, and develop account resolution strategies * Assess each delinquent account ... Identify accounts where a modification, rewrite, or collateral add represents a stronger outcome ...

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How much do credit balance representative jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for credit balance representative in the United States is $22.51, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.12 per hour, depending on experience, location, and employer.

What does a credit balance representative do?

A Credit Balance Representative is responsible for identifying, analyzing, and resolving credit balances on customer accounts, typically within healthcare or financial organizations. Their main duties include reviewing account records, processing refunds or adjustments, and ensuring compliance with company policies and industry regulations. They work closely with billing teams, insurance companies, and sometimes patients or clients to resolve discrepancies and maintain accurate account records.

What are the key skills and qualifications needed to thrive as a credit balance representative, and why are they important?

To thrive as a Credit Balance Representative, you need strong analytical skills, attention to detail, and a background in finance or healthcare billing, often supported by a high school diploma or associate degree. Familiarity with billing software, electronic health records (EHR), and Microsoft Excel is typically required. Exceptional organizational skills, clear communication, and problem-solving abilities help you excel in resolving account discrepancies and collaborating with team members. These competencies ensure accurate account reconciliation, timely refunds, and compliance with regulations, which are critical for maintaining financial integrity and customer satisfaction.

How does a credit balance representative typically collaborate with other departments to resolve account discrepancies?

As a Credit Balance Representative, you will regularly coordinate with billing, customer service, and accounts receivable teams to investigate and resolve account discrepancies. Collaboration often involves communicating with colleagues to verify payment records, clarify adjustments, and ensure that patient or client accounts are accurately updated. Effective teamwork is essential for timely resolution of credit balances and for maintaining compliance with organizational policies and industry regulations. This cross-departmental interaction not only fosters problem-solving skills but also provides valuable exposure to various aspects of the revenue cycle process.
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Credit Balance Representative jobs near you
Infographic showing various Credit Balance Representative job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $46,823 per year, or $22.5 per hour.

PFS Credit Balance Representative - 40 hrs/wk, 1st shift

Blanchard Valley Health System

Findlay, OH • On-site

Full-time

Posted 18 days ago

Blanchard Valley Health System rating

5.8

Company rating: 5.8 out of 10

Based on 59 frontline employees who took The Breakroom Quiz

774th of 887 rated healthcare providers

Job description

PURPOSE OF THIS POSITION
The Credit Balance Representative analyzes posted transactions to determine why there is a credit balance. This position requires detailed analysis and critical thinking to determine what is necessary to correct the account. After review, if a refund is appropriate to either the patient or insurance company, a payment transfer is necessary, or a reversal or correction of contractual allowance or an administrative adjustment is warranted, the representative is responsible to correct the postings and/or refund the overpayment to the correct payer(s).
JOB DUTIES/RESPONSIBILITIES
  • Duty 1. Researches and resolves credit balances on both self-pay and insurance lines. Having a clear understanding of payment posting processes to resolve these issues. Documents all patient accounts activities concisely, including future steps needed for resolution.
  • Duty 2. Responsible for refunding overpayments on accounts or transferring payments to the appropriate account/accounts.
  • Duty 3. Returns phone calls, referrals, or emails promptly and in a courteous manner.
  • Duty 4. Understands different payer regulations and can communicate effectively with patients regarding their Explanation of Benefits (EOB)
  • Duty 5. Performs filing, data entry, and other duties as assigned.
  • Duty 6. Identifies barriers to efficient departmental operations and takes an active role in developing appropriate and effective solutions.
  • Duty 7. Handles telephone questions and concerns from patients, payers, internal/external staff. ensures complaints and inquiries are recorded and reported to Leadership.
  • Duty 8. Monitors, completes, and maintains appropriate productivity levels of assigned tasks in accordance with team standards.
  • Duty 9. The above duties reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position.
  • Duty 10. Maintains a thorough understanding and education of federal and state regulations and payer specific policies and requirements to promote compliant credit and collection practices. Adheres to HIPAA related privacy, security and transaction & code set regulations in compliance with the federal guidelines. Accurately documents all account activity. Regularly attends and actively participates in staff meetings, in-service, and continuing education programs as offered. This provides needed educational updates for compliancy and organizational changes in the healthcare industry.
  • Duty 11. Regularly attends and actively participates in staff meetings, training and continuing education that aligns with recognized improvement opportunities, payer policies and procedures and ensures to maintain up to date certifications. This could be remote and/or onsite as necessary, per the BVHS remote policy. Assists in other duties and projects as needed assigned by the supervisor and/or manager.

REQUIRED QUALIFICATIONS
  • High school graduate or GED equivalent
  • Certified Patient Financial Services Specialist certificate to be completed within 12 months of hire date.
  • 2-3 years of experience in medical billing and collections, or satisfactory completion of internal billing/self-pay billing assessment.
  • Excellent written and verbal communication with positive oriented interpersonal skills.
  • Knowledge and experience with Microsoft office products and Window PC functionality
  • Individual must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patient served on his/her assigned unit/department. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status. Must be able to interpret the appropriate information needed to identify each patient's requirements relative to their age-specific needs and to provide the care needed as described in the area's policies and procedures.

PREFERRED QUALIFICATIONS
  • Degree in healthcare administration or related field, and/or relevant work experience.
  • Medical terminology
  • ICD 10 and/or CPT coding knowledge

PHYSICAL DEMANDS
This position requires a full range of body motion with intermittent bending, squatting, kneeling, and twisting. The associate must be able to sit for three hours, walk for one hour and stand for two hours per day. The associate must be able to lift 20 pounds. The individual must have excellent eye/hand coordination to operate the machines. This position requires corrected vision and hearing in the normal range.

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About Blanchard Valley Health System

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Blanchard Valley Health System, located in Findlay, OH, US, is a non-profit, integrated regional health system dedicated to providing a full continuum of health services to the residents of Hancock County and the contiguous communities in Ohio. The health system operates Blanchard Valley Hospital and Bluffton Hospital alongside a wide array of outpatient specialty clinics and centers such as the region's leading alcohol and drug addiction treatment center, Birchaven Village, a retirement community, and the Blanchard Valley Medical Practices. Founded in 1891, the health system's roots are ingrained in local philanthropy and community service.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Findlay, OH, US

Year founded

1891

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