Credit Resolution Specialist

Credit Resolution Specialist

Our 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 over payments, 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.

• Resolve patient and insurance credit balances accurately and efficiently
• Process insurance and patient refunds in accordance with payer guidelines
• Research account discrepancies, over payments, and payment variances
• Determine whether a credit balance represents a true over payment or another billing issue
• Review fee schedules, payment accuracy, contractual adjustments, and reimbursement amounts
• Communicate with commercial insurance carriers, Medicare, Medicaid, Workers' Compensation, and other payors regarding billing and payment issues
• Investigate claims, payment postings, denials, adjustments, and account reconciliations
• Update insurance information and ensure compliance with government and commercial payer requirements
• Utilize billing systems and internal resources to resolve complex account issues

• 3+ years of recent healthcare billing and/or Accounts Receivable experience (5+ years preferred)
• 3+ years of experience specifically handling insurance credit balances and refunds
• Experience refunding insurance companies for over payments
• Strong understanding of payment posting, adjustments, contractual allowances, fee schedules, and reimbursement accuracy
• Ability to determine whether a balance is a true over payment versus another billing discrepancy
• Experience manually researching and reconciling accounts without relying solely on automated systems
• Strong communication skills working directly with insurance payors
• 10-key by touch proficiency
• Ability to successfully pass a background check, credit check, and drug screen (including marijuana)

• Experience with Centra City Group Management
• Experience using Autopost

Candidates with experience in the following areas are highly encouraged to apply:

• Air ambulance billing
• Ambulance billing
• Emergency medicine
• Hospital physician billing
• Urgent care
• Revenue cycle
• Medical Accounts Receivable
• Insurance follow-up
• Credit resolution
• Insurance refunds and over payment resolution

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.