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$55

How much do credit balance resolution specialist jobs pay per hour?

As of Jul 18, 2026, the average hourly pay for credit balance resolution specialist in the United States is $28.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $36.06 per hour, depending on experience, location, and employer.

What are some typical challenges faced by Credit Balance Resolution Specialists, and how are they addressed?

Credit Balance Resolution Specialists commonly encounter challenges such as investigating complex billing discrepancies, managing large volumes of account reviews, and ensuring compliance with financial regulations. Resolving these issues often involves careful analysis of payment records, collaboration with insurance companies, and clear communication with patients or other departments. Teams typically support one another by sharing best practices and leveraging specialized billing software to streamline workflows. Most organizations provide ongoing training to help specialists stay up to date on industry changes and refine their problem-solving strategies.

What is a Credit Balance Resolution Specialist job?

A Credit Balance Resolution Specialist is responsible for identifying, analyzing, and resolving credit balances in customer or patient accounts. They review account discrepancies, process refunds or adjustments, and ensure compliance with company policies and regulations. This role requires strong analytical skills, attention to detail, and knowledge of billing and payment processes. They often work in healthcare, finance, or insurance industries to prevent overpayments and ensure accurate account reconciliation.

What are the key skills and qualifications needed to thrive in the Credit Balance Resolution Specialist position, and why are they important?

To thrive as a Credit Balance Resolution Specialist, you need strong analytical skills, a solid understanding of medical billing or financial processes, and at least a high school diploma or equivalent; some employers may prefer postsecondary education in finance or healthcare administration. Familiarity with billing software, electronic health record (EHR) systems, and knowledge of HIPAA compliance are typically required. Attention to detail, problem-solving abilities, and effective communication set outstanding candidates apart in this field. These skills are crucial for accurately identifying and resolving credit balances, ensuring compliance, and maintaining positive relationships with patients and payers.

More about Credit Balance Resolution Specialist jobs
What are the most commonly searched types of Credit Balance Resolution Specialist jobs? The most popular types of Credit Balance Resolution Specialist jobs are:
What job categories do people searching Credit Balance Resolution Specialist jobs look for? The top searched job categories for Credit Balance Resolution Specialist jobs are:
Credit Balance Resolution Specialist jobs near you
Credit Balance Resolution Specialist

Credit Balance Resolution Specialist

South Texas Radiology Group, P.A.

San Antonio, TX

Full-time

Re-posted 21 days ago

Job description

Job Title: Credit Balance Resolution Specialist
Department: Patient Account Services
Location: San Antonio, TX (on site)
Reports To: Senior Manager, Patient Account Services
FLSA Status: Non-exempt
Summary of Position:
The Credit Balance Resolution Specialist is responsible for evaluating all accounts with credit balances and performing processes needed to resolve them.
Job Responsibilities:
  • Employee must adhere to STRG Policies and Procedures at all times
  • Evaluate accounts with credit balances and perform processes needed to resolve them, including researching if the balance is actually owed and who it is owed to
  • Evaluate refund requests from various payors and determine proper action
  • Transfer payments
  • Work Task Management Queues in Groupcast ensuring that records are worked within five days of original entry date
  • Work refund requests (manuals) as assigned within seven days of receipt
  • Demonstrate complete knowledge of computer system with regard to refund menu
  • Take other steps to move account balances to resolution (e.g. set to bill to patient)
  • Maintain confidentiality of patient protected health information (PHI) as mandated by STRG procedures and HIPAA Privacy, Security, amp; HITECH regulations
  • Track and record credit balance resolution production in time analysis
  • Perform other tasks as directed
  • Maintain strict confidentiality of patient protected health information (PHI) as mandated by STRG procedures and HIPAA Privacy, Security, and HITECH regulations
  • Perform other duties as required
  • Counting Production:
  • Auto refunds: Count each charge that has a credit balance that is resolved as the result of the work being done. The following tasks are included in the time required to resolve a charge: checking for other related accounts; checking for small balance write-offs; letter to patient or insurance regarding the refund; completing the Payment Processing error log; entering refund info into the BCBS ERM; verifying allowed; verifying MPPR or MSR; adjustment to other charges/ accounts; checking for open charges on the account; completing the Credit Balance Worksheet
  • Manual refunds: Most charges for which a refund request is received will not show a credit balance. When working refund requests, count as a charge worked any charge that is reviewed, for which an adjustment or transfer is requested, or which is being error corrected to another insurance payor. The following tasks are included in the time required to resolve a charge: Pull required documents; review EOBS; calculate MPPR or MSR; review for SB418; complete document for request EC; complete credit balance worksheet; check fee schedules; check for open charges on account; complete credit balance worksheet
Supervisory Responsibilities:
None
Experience / Skill Requirements:
One to two years’ general office experience. Medical insurance or AR experience is a plus.
Education:
High School diploma or GED
Attendance / Work Schedule:
Maintaining and satisfying minimum attendance requirements is an essential function of this position, including working all full-time regular hours as established for this position and scheduled or emergency overtime. Full-time regular hours are defined as Monday through Friday, with after-hours or weekends as required. All employees in this job classification are required to satisfy this requirement. This job classification does not include "light duty" work or allow unpredictable or unrestricted absences.

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