Summary
Digitech, a provider of billing and technology services for the EMS transport industry, is seeking a Credit Balance Specialist to support its revenue cycle operations. The role processes and validates refunds, maintains accurate financial records, coordinates with internal teams and external stakeholders, and ensures compliance with payer regulations and organizational policies in a remote work environment.
Responsibilities
- Receive, review, and process refund requests in accordance with payer rules, internal procedures, and regulatory requirements
- Accurately post and record refund transactions in the billing system, ensuring proper documentation and audit‑ready financial records
- Research account histories to verify refund validity, payment sources, EOB details, and overpayment rationale
- Communicate with external stakeholders, including attorneys, no‑fault carriers, workers’ compensation representatives, and the VA as needed to confirm refund details or request supporting documentation
- Interpret and understand Explanations of Benefits (EOBs) to determine refund justification and payment disposition
- Collaborate closely with internal teams, including Payment Posting, Billing, QA, and Client Services, to resolve discrepancies and ensure accurate account adjustments
- Ensure refunds are processed within required timeframes, meeting daily productivity goals and departmental service level expectations
- Maintain detailed, accurate notes documenting actions taken, communication, and financial adjustments
- Identify discrepancies, patterns, or repeat issues and escalate them to the Department Manager for resolution or process improvement
- Handle mail, emails, and refund correspondence, ensuring proper follow‑through and documentation
- Support compliance efforts, ensuring all refund processes meet HIPAA, payer, and internal standards
- Additional job duties as assigned
Skills
- High School Diploma or equivalent
- Strong ability to multi‑task and manage a high‑volume workload while maintaining accuracy
- Collaborative team player capable of working effectively across internal departments and with external partners
- Professional, pleasant, and confident demeanor in verbal and written communication
- Ability to remain calm, organized, and focused under pressure
- High computer literacy, including ease working with dual monitors and navigating multiple systems simultaneously
- Excellent follow‑through and problem‑solving abilities
- Strong mathematical skills and comfort handling financial calculations
- Proficiency in reading and interpreting Explanations of Benefits (EOBs)
- Strong attention to detail and commitment to accuracy
- Ability to meet deadlines and maintain high productivity
- Dependable, punctual, and accountable with a strong work ethic
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
- Previous experience handling refunds, payment posting, or medical billing is helpful
Qualifications
Must Haves
- High School Diploma or equivalent
- Strong ability to multi‑task and manage a high‑volume workload while maintaining accuracy
- Collaborative team player capable of working effectively across internal departments and with external partners
- Professional, pleasant, and confident demeanor in verbal and written communication
- Ability to remain calm, organized, and focused under pressure
- High computer literacy, including ease working with dual monitors and navigating multiple systems simultaneously
- Excellent follow‑through and problem‑solving abilities
- Strong mathematical skills and comfort handling financial calculations
- Proficiency in reading and interpreting Explanations of Benefits (EOBs)
- Strong attention to detail and commitment to accuracy
- Ability to meet deadlines and maintain high productivity
- Dependable, punctual, and accountable with a strong work ethic
- Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment
Nice to Haves
- Previous experience handling refunds, payment posting, or medical billing is helpful
Benefits
- Comprehensive benefits package, including 401(k) Plan
- Remote work arrangement