Credit Balance

Q Way Technologies

1 - 4 years

3 - 6 Lacs

Chennai

Posted:1 day ago| Platform:

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Skills Required

Analytical skills Payment posting Compliance Analytical Billing HIPAA Healthcare US healthcare Revenue cycle management Auditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Experience:

1-4 Years

Shift:

Night Shift (US Time Zones)

Job Summary: We are seeking a skilled Credit Balance Specialist to manage and resolve credit balances and overpayments in the US Healthcare Revenue Cycle Management (RCM) process. The ideal candidate should have strong analytical skills and a good understanding of payer rules and billing practices to ensure accurate resolution of patient and payer credits.

Key Responsibilities:
Analyze patient and payer accounts with credit balances.

Investigate and resolve overpayments, duplicate payments, and incorrect postings.

Initiate refund requests or adjustments as per company policy and payer guidelines.

Coordinate with billing, AR, and payment posting teams to ensure accurate resolution.

Respond to refund audits and payer requests for documentation.

Maintain detailed and accurate account notes and audit trails.

Ensure compliance with HIPAA and RCM best practices.

Required Skills:

Strong understanding of US healthcare RCM, especially credit balance and refund processes.

Knowledge of payer regulations, billing guidelines, and healthcare terminology.

Familiarity with EOBs, remittance advice, and denial codes.

Excellent analytical and problem-solving skills.

Experience working with billing software (e.g., Epic).

Good communication and documentation skills.

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