About this opportunity
Alpine Solutions Group lists this Credit Resolution Specialist opportunity in tempe, Arizona. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Credit Resolution SpecialistOur healthcare client is seeking a Credit Resolution Specialist to join its Revenue Cycle team in Tempe, AZ. This role is ideal for someone with a strong healthcare accounts receivable background who has extensive experience resolving insurance credit balances, issuing refunds, researching overpayments, and communicating directly with insurance payors.Unlike a traditional physician office or hospital billing department, PHI specializes in air ambulance transportation billing, making this an excellent opportunity for candidates who enjoy complex insurance reimbursement and credit resolution work.What You'll DoResolve patient and insurance credit balances accurately and efficientlyProcess insurance and patient refunds in accordance with payer guidelinesResearch account discrepancies, overpayments, and payment variancesDetermine whether a credit balance represents a true overpayment or another billing issueReview fee schedules, payment accuracy, contractual adjustments, and reimbursement amountsCommunicate with commercial insurance carriers, Medicare, Medicaid, Workers' Compensation, and other payors regarding billing and payment issuesInvestigate claims, payment postings, denials, adjustments, and account reconciliationsUpdate insurance information and ensure compliance with government and commercial payer requirementsUtilize billing systems and internal resources to resolve complex account issuesRequired Qualifications3+ years of recent healthcare billing and/or Accounts Receivable experience (5+ years preferred)3+ years of experience specifically handling insurance credit balances and refundsExperience refunding insurance companies for overpaymentsStrong understanding of payment posting, adjustments, contractual allowances, fee schedules, and reimbursement accuracyAbility to determine whether a balance is a true overpayment versus another billing discrepancyExperience manually researching and reconciling accounts without relying solely on automated systemsStrong communication skills working directly with insurance payors10-key by touch proficiencyAbility to successfully pass a background check, credit check, and drug screen (including marijuana)Preferred QualificationsExperience with Centra City Group ManagementExperience using AutopostIdeal BackgroundCandidates with experience in the following areas are highly encouraged to apply:Air ambulance billingAmbulance billingEmergency medicineHospital physician billingUrgent careRevenue cycleMedical Accounts ReceivableInsurance follow-upCredit resolutionInsurance refunds and overpayment resolutionWhy Join?This client provides lifesaving air medical transportation throughout the United States. The Revenue Cycle team plays a critical role in ensuring accurate reimbursement while supporting patients and insurance partners through complex billing scenarios. If you enjoy problem-solving, researching complex claims, and working in a collaborative healthcare environment, this is an excellent opportunity to grow your career.
Worksite address
tempe, AZ, 85281, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.