Credit Balance & Refunds Specialist

Tri-anim Health Services, Inc.; Northern (KY); Hybrid; USD 42,000 - 54,000; Full time

Benefits offered by this job

401(k) Plan

Job summary

Digitech is seeking a Credit Balance Specialist to ensure refunds are processed accurately and on time, reviewing transactions and posting them in the billing system. The role requires strong math skills, attention to detail, and regular collaboration with internal teams and external partners.

The ideal candidate will handle HIPAA and payer standards, work in a fast-paced environment, and maintain audit-ready documentation while meeting daily productivity goals.

Qualifications

• High School Diploma or equivalent required.
• Ability to manage a high-volume workload with accuracy.
• Experience handling refunds, payment posting, or medical billing preferred.
• Strong mathematical skills and comfort with financial calculations.
• Proficiency in reading and interpreting Explanations of Benefits (EOBs).

Responsibilities

• Receive, review, and process refund requests in accordance with payer rules, internal procedures, and regulatory requirements.
• Post and record refund transactions in the billing system with proper documentation.
• Research account histories to verify refund validity and overpayment rationale.
• Communicate with external stakeholders to confirm refund details or request documentation.
• Interpret EOBs to determine refund justification and payment disposition.
• Collaborate with internal teams to resolve discrepancies and ensure accurate account adjustments.
• Ensure refunds are processed within required timeframes and meet productivity goals.
• Maintain detailed notes documenting actions and communications.

Skills

Multitasking

Team collaboration

Communication

Calm under pressure

Computer literacy

Attention to detail

Time management

Problem solving

Reading EOBs

Meeting deadlines

Remote work independence

Education

High School Diploma or equivalent

Job description

Digitech is seeking a Credit Balance Specialist to ensure refunds are processed accurately and on time, reviewing transactions and posting them in the billing system. The role requires strong math skills, attention to detail, and regular collaboration with internal teams and external partners.

The ideal candidate will handle HIPAA and payer standards, work in a fast-paced environment, and maintain audit-ready documentation while meeting daily productivity goals.