Credit Balance Specialist

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated Credit Balance Specialist responsible for researching and resolving credit balances for hospital and professional billing accounts. This role plays a vital part in ensuring accurate account resolution while maintaining compliance with payer and organizational guidelines.

Key Responsibilities

• Research and resolve credit balances for various payer types including government, commercial, and third-party payers.
• Investigate account activity utilizing billing systems and other documentation.
• Process billing adjustments, refunds, and retractions as needed for accurate resolution.
• Document resolutions and communicate findings internally.
• Collaborate on complex issues with the Credit Balance Resolution Coordinator and related teams.
• Analyze and review payment variances and adjustment activities.
• Monitor trends and propose process improvements.
• Participate in larger credit balance projects.
• Perform other duties as assigned.

Qualifications

• High school diploma or equivalent required.

Experience

• At least one year of experience in accounting, finance, or healthcare revenue cycle operations.
• Prior experience with cash posting, credit balances, or related research.
• Knowledge of healthcare revenue cycle processes such as claim submission and payment posting.

Skills

• Experience with Microsoft Excel.
• Proficiency in billing systems such as Epic, Athena, or Cerner.
• Strong research and analytical skills.
• Ability to work independently and manage deadlines effectively.
• Attention to detail and excellent problem-solving abilities.
• Strong written and verbal communication skills.
• Capable of following directions and collaborating with team members.

Additional Requirements

• Full-time position, Monday through Friday with an 8-hour workday.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers various health plans including Major Medical and Fixed Indemnity Plans).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

* 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).


Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

Any required state or Joint Commission training is compensated at the state or local minimum wage rate.

* As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. 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.