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Credit Balance Resolution Specialist Jobs (NOW HIRING)

Medix

Credit Balance Specialist

Mckinney, TX · On-site

$24 - $28/hr

Healthcare Credit Balance Specialist (Contract) Location: McKinney, TX (100% On-Site) Position Type ... In this role, approximately 80% of your time will be focused on credit balance resolution and 20 ...

Medix

Credit Balance Specialist

Lawrenceville, NJ · On-site

$24 - $28/hr

Job Summary Our client is seeking a dedicated Credit Balance Specialist responsible for researching ... This role plays a vital part in ensuring accurate account resolution while maintaining compliance ...

Premier Ambulance

Credit Balance Specialist

Brea, CA · On-site

$20 - $27.50/hr

We are seeking a detail-oriented and organized Overpayment Refund Specialist to join our ambulance ... Monitor dispute outcomes and follow up to ensure timely resolution * Ensure compliance with CMS ...

PREMIER AMBULANCE

Credit Balance Specialist

Brea, CA · On-site

$20 - $27.50/hr

We are seeking a detail-oriented and organized Overpayment Refund Specialist to join our ambulance ... Monitor dispute outcomes and follow up to ensure timely resolution * Ensure compliance with CMS ...

Src

Account Resolution Specialist

Dallas, TX · Hybrid

$14.25 - $19.75/hr

Account Resolution Specialist Location: Dallas - Hospital Additional Posting Details: Monday ... Review and resolve credit balances in a timely manner * Follow-up on all billed claims to ensure ...

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

As of Sep 8, 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 is a credit balance resolution specialist?

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 as a credit balance resolution specialist?

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.

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 does a credit balance resolution specialist do?

A credit balance resolution specialist reviews and resolves accounts with negative or excess balances by identifying errors, communicating with customers or vendors, and adjusting accounts as needed. They often use accounting software and require attention to detail to ensure accurate account reconciliation and compliance with financial policies.
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Credit Balance Resolution Specialist jobs near you
Infographic showing various Credit Balance Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 15% Part Time, and 2% Contract. Highlights an 91% Physical, 3% Hybrid, and 6% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Credit Balance Resolution Specialist

South Texas Radiology Group, P.A.

San Antonio, TX

Full-time

Re-posted 13 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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