Credit Balance Specialist - 250002 - Houston - Medix™

    Medix™
    Medix™ Houston

    2 days ago

    Healthcare
    Description

    *** Must be local to the Houston area ***

    Location: Fully Remote (After 30 days of onsite training)

    Schedule: Monday–Friday | 8:00 AM – 5:00 PM or 7:00 AM – 4:00 PM

    Pay Rate: Up to $23.00/hour (Based on experience)

    Position Overview

    We are seeking a detail-oriented Credit Balance & Refund Specialist to manage the lifecycle of patient and insurance overpayments. In this role, you will be the "financial detective" of our patient accounts—meticulously researching payment histories, interpreting complex Explanation of Benefits (EOBs), and determining the correct course of action for refunds or corrections.

    This is a growth-oriented role perfect for a candidate with a strong background in healthcare revenue cycle management who enjoys high-volume, analytical work.

    Key Responsibilities

    • Account Analysis: Conduct detailed reviews of patient account credit balances to identify necessary transactions, including refunds, adjustments, or corrections.
    • Compliance & Research: Apply insurance-specific rules and healthcare policies to calculate accurate refund amounts, ensuring all actions meet federal and state regulations.
    • Dispute Resolution: Coordinate with insurance companies to resolve discrepancies, verify COB (Coordination of Benefits), and reconcile account mismatches.
    • Data Management: Pull facility-specific reports, maintain meticulous records of refund statuses, and process refund invoices for overpayment cases.
    • Unclaimed Property: Identify and report unclaimed property related to credit balances in accordance with state laws.
    • Collaboration: Act as a resource for department managers and mentor less experienced staff as needed.

    Required Qualifications

    • Experience: 2+ years of direct experience specifically within Credit Balances and Refunds.
    • Hands-on experience with insurance portals (e.g., UCH, Availity, Optum).
    • Intermediate proficiency in Microsoft Excel and Outlook.
    • Core Competencies: * Expertise in reading and interpreting EOBs.
    • Strong understanding of insurance coinsurance and payment posting processes.
    • Ability to multitask in a fast-paced, high-volume environment without sacrificing accuracy.

    Preferred Skills

    • Experience using SharePoint or Waystar
    • Previous background in Payment Posting.

    The "Why" Behind This Role

    • Work-Life Balance: Enjoy the flexibility of a fully remote schedule after your initial 30-day training period.
    • Growth Opportunity: This position is open due to organizational growth, offering a stable environment with a clear mission.
    • Direct Impact: Your work ensures financial integrity for our patients and compliance with critical healthcare regulations.

  • Work in company

    Specialist, Material Balance

    Only for registered members

    The successful candidate will meet the following qualifications: · High school diploma or GED is required.  · College degree in Business or Technical field, or at least 3 or more years of experience in Natural Gas Measurement/Volume is preferred, analyzing gas measurement volumet ...

    USA - Texas - Houston

    5 days ago

  • Work in company

    Specialist, Material Balance

    Only for registered members

    Enterprise Products Partners L.P. is one of the largest publicly traded partnerships and a leading North American provider of midstream energy services to producers and consumers of natural gas, NGLs, crude oil, refined products and petrochemicals. Our services include\: natural ...

    USA - Texas - Houston

    8 hours ago

  • Work in company

    Specialist, Material Balance

    Only for registered members

    The Material Balance Specialist role will work in cooperation with and in support of the Manager of Measurement & Material Balance and the Supervisor of Measurement & Material Balance. · ...

    Houston, TX

    1 week ago

  • Work in company

    Specialist, Material Balance

    Only for registered members

    The Material Balance Specialist role will work in cooperation with and in support of the Manager of Measurement & Material Balance and the Supervisor of Measurement & Material Balance. · The position interfaces with Engineering, Operations, Distribution, Laboratory, · and Field M ...

    Houston

    1 week ago

  • Work in company

    Specialist, Material Balance

    Only for registered members

    The Material Balance Specialist will work in cooperation with the Manager of Measurement & Material Balance and the Supervisor of Measurement & Material Balance. · We are looking for a candidate who has experience in Natural Gas Measurement/Volume analyzing gas measurement volume ...

    Houston Full time

    1 week ago

  • Work in company Remote job

    Credit Balance Specialist - 250002

    Only for registered members

    We are seeking a detail-oriented Credit Balance & Refund Specialist to manage the lifecycle of patient and insurance overpayments.This role involves researching payment histories, interpreting complex Explanation of Benefits (EOBs), and determining the correct course of action fo ...

    Houston, TX

    1 week ago

  • Work in company

    Credit Balance Specialist - 250002

    Only for registered members

    We are seeking a detail-oriented Credit Balance & Refund Specialist to manage the lifecycle of patient and insurance overpayments. · Conduct detailed reviews of patient account credit balances to identify necessary transactions. · Apply insurance-specific rules and healthcare pol ...

    Houston

    1 week ago

  • Work in company

    Enrollment Specialist

    Only for registered members

    We are seeking an Enrollment Specialist to join our team at Primrose School of Summerwood. As an Enrollment Specialist, you will be dedicated to the success of school and creating an environment where families feel happy to send their children. · Dental insurance · Flexible sched ...

    Houston, TX

    2 weeks ago

  • Work in company

    Patient Accounts Collections Specialist

    Hornet Staffing, Inc, a GEE Group company

    Hiring: Patient Account Specialist Senior (Onsite) · Onsite Position: Irving TX no nights and Weekends · Excellent Benefits · Experience Required: 3–5 Years · We are looking for an experienced Patient Account Specialist Senior with a strong background in medical collections and h ...

    Houston $40,000 - $65,000 (USD) per year

    23 hours ago

  • Work in company

    Physician / Otolaryngology / Texas / Permanent / Western Texas

    International Medical Placement, Ltd.

    This position includes an outpatient practice and surgery caseload. · ...

    Houston

    6 days ago

  • Work in company

    Collections Specialist

    Only for registered members

    Maintaining assigned accounts and ensuring timely collection of outstanding receivables. · ...

    Houston, TX

    1 week ago

  • Work in company

    Sr Analyst

    Only for registered members

    This position will provide support to operations with measurement analytics and activities. · Maintains integrity of meter and volume information for assigned assets. Creates analytical information and reports needed to validate accuracy of measurement data. Provides loss/gain su ...

    Houston Full time

    1 month ago

  • Work in company

    Sr Analyst

    Only for registered members

    This position will be responsible for providing support to operations and other related disciplines with measurement analytics and activities. · The Specialist/Analyst level requires a Bachelor's degree and 2-5 years of relevant job related experience · Skills · FLOWCAL experienc ...

    Houston

    1 month ago

  • Work in company

    Sr Analyst

    Only for registered members

    This position will be responsible for providing support to operations and other related disciplines with measurement analytics and activities. · ...

    Houston Full time

    4 weeks ago

  • Work in company

    Accounting Specialist

    Only for registered members

    The Accounting Specialist will primarily be responsible for Collections and credit applications along with participating in billing, cash applications, and other functions as assigned. · Reviews collection report on a weekly basis and contacts customers regarding past due balance ...

    Houston

    1 week ago

  • Work in company

    Accounts Receivable Specialist

    Only for registered members

    Tarvos Talent is partnering with a reputable company in the Greater Houston area to identify an Accounts Receivable Specialist. · ...

    Greater Houston

    1 month ago

  • Work in company

    Lead AR/Billing Specialist

    Only for registered members

    This Lead AR/Billing Specialist role offers a stable environment where leadership values communication and professional growth. · Act as the working lead for a team of three AR/Billing specialists. · ...

    Houston, TX

    3 weeks ago

  • Work in company

    Accounting Specialist

    Only for registered members

    The Accounting Specialist will primarily be responsible for Collections and credit applications along with participating in billing, cash applications, and other functions as assigned. · ...

    Houston

    4 weeks ago

  • Work in company

    AR Supervisor

    Only for registered members

    +The offices of Lewis Brisbois are seeking an Accounts Receivable Supervisor with legal experience. · + · +Assist with onboarding and training of new candidates · Provide constructive and timely annual performance evaluations · Serve as liaison between the team and other teams/de ...

    Houston

    1 month ago

  • Work in company

    Legal Secretary/Attorney Support Specialist

    Abacus Group, LLC

    Our client is a global law firm. They seek a Legal Secretary/Attorney Support Specialist to join their Houston, TX office. · Responsibilities · Review attorney time entries for adherence to internal standards, proactively revising descriptions and notifying fee earners of discrep ...

    Houston

    1 day ago

Jobs
>
Houston