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Greenville, South Carolina, United States · On-site
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Greenville, South Carolina, United States · On-site
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Greenville, South Carolina, United States · On-site
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Greenville, South Carolina, United States • On-site
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The Credit Specialist is responsible for resolving credit balance accounts for both patients and payers, including processing refunds and performing account reconciliations. They collaborate with Revenue Cycle teams to identify root causes of overpayments and ensure compliance with regulatory requirements.
A high school diploma is required, while an associate's or bachelor's degree and 1-3 years of revenue cycle experience are preferred. Candidates should possess strong analytical skills and familiarity with healthcare billing systems like Epic or eCW.
Job Title: Credit Specialist
Weekly Hours: 40 hours per week, Onsite Options: Monday – Friday, 8:00 AM – 5:00 PM (1-hour lunch) Monday – Friday, 8:00 AM – 4:30 PM (30-minute lunch)
Supervised by: Credit Specialist Team Lead / Revenue Cycle Manager
Position Overview:
The Credit Specialist (Insurance & Patient) is responsible for the timely and accurate resolution of credit balance accounts across both patient and payer populations. This position reviews and resolves overpayments, processes refunds, performs account reconciliations, and ensures compliance with payer, regulatory, and organizational requirements. The Credit Specialist works collaboratively with Revenue Cycle teams to identify and resolve credit balances, maintain account accuracy, and support financial integrity throughout the revenue cycle.
Responsibilities:
Credit Balance Resolution
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Maintain an assigned inventory of credit balance accounts, including both insurance and patient credits.
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Review and resolve insurance and patient overpayments in accordance with payer and organizational guidelines.
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Process payer and patient refunds accurately and within required timeframes.
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Transfer or reallocate credit balances when appropriate.
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Post adjustments as required to properly reconcile accounts.
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Research account activity to determine the root cause of credit balances.
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Document account findings, actions taken, and resolution outcomes thoroughly and accurately.
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Ensure all assigned accounts are resolved in a timely and compliant manner.
Credit Balance Operations
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Review and reconcile credit balance accounts to determine appropriate disposition.
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Process refunds, adjustments, transfers, takebacks, recoupments, and offsets as applicable.
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Verify that account balances accurately reflect payment activity and adjustments.
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Monitor assigned inventory to ensure aging standards and productivity expectations are met.
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Escalate complex or unresolved issues to leadership as appropriate.
Compliance & Documentation
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Adhere to CMS, payer, and organizational refund requirements and timelines.
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Maintain compliance with HIPAA and all applicable privacy and security regulations.
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Ensure accurate documentation of account activity and resolution actions.
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Support internal and external audit requests by providing appropriate account documentation.
Quality & Performance
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Maintain productivity and quality standards established by Revenue Cycle leadership.
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Review work for accuracy and completeness prior to final resolution.
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Identify trends or recurring issues contributing to credit balances and communicate findings to leadership.
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Participate in quality improvement initiatives designed to reduce credit balances and improve operational efficiency.
Cross-Functional Collaboration
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Work collaboratively with:
Cash Posting
AR Follow-Up
Denials & Appeals
Patient Financial Services
Revenue Cycle Leadership
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Communicate account issues requiring additional review or intervention.
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Assist with resolution of account discrepancies impacting credit balance processing.
Required Education & Certifications:
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High School Diploma or equivalent required.
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Associate's or Bachelor's degree preferred.
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1–3 years of Revenue Cycle experience preferred.
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Experience with credit balance resolution, refund processing, cash posting, AR follow-up, or related revenue cycle functions preferred.
Required Skills
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Knowledge of insurance payment methodologies and Explanation of Benefits (EOB) interpretation.
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Understanding of credit balance workflows and refund processes.
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Experience with Epic, eCW, or other healthcare billing systems preferred.
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Strong analytical and problem-solving skills.
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Excellent attention to detail and accuracy.
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Effective organizational and time management skills.
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Ability to work independently and manage assigned workloads.
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Strong written and verbal communication skills.
Certifications
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Certified Revenue Cycle Representative (CRCR) or willingness to obtain.
Physical Demands:
Continuously requires sitting, typing, verbal communication, verbal communication
Frequently requires reaching above the shoulder, reaching outward, lifting items weighing 10 pounds or less, pushing/pulling items weighing 10 pounds or less
Infrequently requires pushing/pulling items weighing up to 50 pounds lifting items weighing up to 50 pounds, lifting items weighing up to 50 pounds, standing, walking, climbing, crawling, bending, squatting/kneeling, lifting items weighing up to 20 pounds
Work Environment:
Person may be exposed to fumes, airborne particles, infectious diseases, blood/bodily fluids, and disease-bearing specimens.
The Onyx Group is an Equal Opportunity Employer.
Faith-based healthcare organization providing exceptional patient care and management services
Tribe513 includes Parkside Pediatrics, Parkside Family Medicine, Parkside OB-GYN, VIVE Greenville, Neighbors Pediatrics, and the Breastfeeding Center at Parkside, with 18 practice sites across South Carolina. The Onyx Group is a joint venture with MUSC Health to provide management services for these independent practices. At Tribe513 and The Onyx Group, we’re a fast-paced, energetic team where hard work and fun go hand in hand. Faith is at the heart of everything we do, guiding our work while creating a culture of teamwork, connection, and joy. We get things done, but we also make time to celebrate the journey—because great work happens when people love what they do.
Offices: 124 Verdae Blvd, Suite 101, Greenville, South Carolina 29607, US
There are currently 473 open administrative positions in Greenville, SC listed on Clera. New openings are added daily as companies post roles.
Companies currently hiring include Prisma Health, Tribe513 | The Onyx Group, BON SECOURS MARY IMMACULATE HOSPITAL, Bon Secours Mercy Health, Bon Secours, among others. Browse the listings above to see every active employer.
Yes — 49 of the 473 open administrative positions offer remote or hybrid work (27 remote, 22 hybrid).
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.
