Credit Resolution Specialist
Location: Tempe, AZ (100% Onsite)
Schedule: Monday–Friday | 8:00 AM – 4:00 PM Arizona Time (40 hours/week)
Employment Type: Full-Time (Direct Hire)
About the Opportunity
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 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 Do
- Resolve patient and insurance credit balances accurately and efficiently
- Process insurance and patient refunds in accordance with payer guidelines
- Research account discrepancies, overpayments, and payment variances
- Determine whether a credit balance represents a true overpayment 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
Required Qualifications
- 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 overpayments
- Strong understanding of payment posting, adjustments, contractual allowances, fee schedules, and reimbursement accuracy
- Ability to determine whether a balance is a true overpayment 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)
Preferred Qualifications
- Experience with Centra City Group Management
- Experience using Autopost
Ideal Background
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 overpayment resolution
Why 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.