Researching overpayments in instances where payors (e.g., insurance companies or government programs) have paid more than the amount due, and fulfilling refund requests to our payors.
Initiating and managing refunds once verified, and ensuring the appropriate steps are taken to return funds.
Fulfilling overpayment requests based on the contractual timelines outlined by each payor.
Ensuring compliance with regulations and policies to ensure all actions follow federal, state, and payer-specific regulations.
Maintaining accurate records and keeping detailed documentation for transparency, audits, and process improvement.

Healthcare Experience: Strong understanding of healthcare claims, overpayments, and facilitating refunds to payors. At least 2 years of experience in Medical Billing or in a Healthcare setting, with a strong understanding of healthcare claims, overpayments, and experience facilitating refunds to both commercial and government payors.
Process-driven: Highly organized, operational thinker, rarely leaving questions unanswered. Demonstrates strong attention to detail and takes initiative to resolve issues independently.
Problem-Solving: Proactive problem solver, with the ability to identify key pain points hindering operational performance and develop effective, practical solutions to address the issues.
Agile: You thrive in a fast-paced, unpredictable environment, and you’re able to pivot quickly as new priorities and challenges arise.
Team Player: You’re collaborative by nature, you value camaraderie and celebrate group successes, serving as a dependable partner and source of encouragement for colleagues.

Comprehensive Health Coverage: Medical, dental, and vision insurance, plus life and disability coverage.
Parental Leave & Family Support: Up to 18 weeks paid leave and a new child stipend.
Financial Wellness: 401(k) program and equity opportunities.
Meals & Home Office Support: Stipends for home office setup and ongoing funds for meals, with tailored perks for both remote and in-office employees.
Time Off to Recharge: Flexible PTO, 12 paid holidays, and a full winter break week.
Wellness & Development: Annual stipends to put towards personal & professional growth.
Mental & Physical Health Support: No-cost access to therapy through the Grow platform, weekly flexible hours for self-care (“Mental Health Mornings/Afternoons”) and memberships to leading wellness apps (such as One Medical, Headspace, and Talkspace).
Extra Perks: Pet insurance discounts, commuter benefits, and global travel assistance.

Credits Specialist, Medical Billing

Key skills