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Description

We are looking for a detail-oriented Insurance Credit Specialist to join our team on a long-term contract basis. This role will focus on managing credit balances, ensuring accurate refunds to insurance payers, and analyzing claims to identify discrepancies. This fully remote opportunity allows you to bring your expertise in insurance billing and revenue cycle processes to a supportive and collaborative environment.

Responsibilities:

• Analyze and resolve credit balances by reviewing overpayments and determining the accurate course of action.

• Conduct thorough investigations into insurance claims to identify discrepancies and ensure proper resolution.

• Process refunds to insurance payers by verifying overpayment details and completing necessary adjustments.

• Utilize payer portals and communication channels to gather information and take corrective action on claims.

• Perform root cause analysis to identify patterns in credit balances and recommend process improvements.

• Collaborate with team members to ensure compliance with insurance regulations and billing standards.

• Maintain accurate records of all transactions and updates within in-house systems and software.

• Provide insights and feedback during training sessions to enhance team efficiency and knowledge.

• Use tools such as Outlook, Excel, and SharePoint to manage workflows and document activities.

• Communicate effectively with stakeholders to ensure timely resolution of issues and alignment with organizational goals.

Requirements • Proven experience in revenue cycle processes with a focus on credit balances and refunds.

• Strong background in insurance billing, claims investigation, and collections.

• Proficiency in using accounting software systems, CRM, or ERP platforms.

• Demonstrated ability to conduct root cause analysis and apply critical thinking to problem-solving.

• Familiarity with insurance payers, reimbursement processes, and common insurance forms.

• Skilled in using tools like Excel, Outlook, and SharePoint to manage data and workflows.

• Excellent communication skills to interact with payers, team members, and other stakeholders.

• Ability to work independently in a remote setting while meeting deadlines and maintaining accuracy.

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

• 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .