Credit Balance Specialist

Job Description

Job Description

Healthcare Credit Balance Specialist (Contract)

Location: McKinney, TX (100% On-Site)

Position Type: 4-Month Contract (End-of-Year Initiative)

Pay Range: $24.00 - $28.00 / hour (based on experience)

Schedule: Monday - Friday, 8:00 AM - 5:00 PM (Flexible start time as early as 7:30 AM; 40 hours/week)

We are seeking an experienced Healthcare Credit Balance Specialist to lead a targeted 4-month revenue cycle cleanup initiative.

In this role, approximately 80% of your time will be focused on credit balance resolution and 20% on targeted Accounts Receivable (AR) follow-up to facilitate credit cleanup. This project is dedicated purely to research, account reconciliation, and balance resolution- no denial or appeal processing is required.

Equipment will be provided by the client upon start.

• Credit Balance Cleanup: Research and resolve healthcare credit balances by identifying root causes and determining accurate resolutions (adjustments, refunds, or corrections).

• Account Analysis: Review remittance advices (ERAs/EOBs), payment histories, payer activity, and transaction logs to ensure proper adjustments are made.

• Portal Navigation: Utilize payer portals and healthcare billing systems daily to retrieve account details and resolve complex discrepancies.

• Targeted AR Follow-Up: Perform accounts receivable follow-up when necessary to facilitate credit balance resolution.

• Documentation & Quality: Maintain accurate, detailed records of research, findings, and resolutions while working independently to meet daily quality and productivity targets.

• Professional Communication: Collaborate professionally with internal departments and insurance payers regarding account issues.

• Experience: 3-5+ years of healthcare revenue cycle experience required.

• Credit Balance Expertise: Strong, proven background in healthcare credit balance resolution and accounts receivable (AR).

• Research Skills: Ability to deep-dive into complex accounts, identify the root cause of discrepancies, and independently apply correct resolutions.

• Technical Proficiency: Comfortable navigating multiple payer portals and healthcare billing systems.

• Experience with Waystar strongly preferred.

• Experience with KanTime is a plus.

• Background in Home Health or Home Care revenue cycle is preferred, but not required.

• Strong analytical, problem-solving, and organizational skills.

• Excellent written and verbal communication skills.

• Self-motivated and capable of working independently with minimal supervision.

• Quick learner who can adapt rapidly to established client workflows.

• Focused Scope: Clear project goals centered entirely on credit balance resolution-no claim denials or appeals handling.

• Streamlined Process: Fast-track hiring process with a single interview with the hiring manager.

• Equipment Provided: All required computer equipment is provided.

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.