As a Credit Balance Specialist, you'll manage overpayment refunds, validate amounts, process disputes, ensure compliance, and maintain records.
We are seeking a detail-oriented and organized Overpayment Refund Specialist to join our ambulance billing team. This role is responsible for identifying, validating, disputing when appropriate, and processing overpayment refunds to insurance carriers, government payers, and patients while ensuring compliance with federal, state, and payer-specific regulations.
Schedule: This is an in-office position with day, swing and night shifts available.
Key Responsibilities
- Identify and research overpayments from Medicare, Medicaid, commercial insurers, and private pay patients
- Validate overpayment amounts and determine appropriate refund or dispute actions
- Prepare and submit disputes or appeals for incorrect or duplicate overpayment demands
- Review payer recoupment requests and correspondence to determine validity
- Process approved refunds accurately and in a timely manner, including documentation and tracking
- Communicate with insurance carriers, patients, and internal teams regarding refund and dispute status
- Monitor dispute outcomes and follow up to ensure timely resolution
- Ensure compliance with CMS, state regulations, and payer-specific refund and dispute timelines
- Maintain accurate records and audit trails for all refunds and disputes
- Collaborate with billing, compliance, and collections teams to prevent future overpayments
- Assist with internal and external audits related to overpayments, refunds, and disputes
- Prepare reports on refund and dispute trends, volumes, and root causes
- High school diploma or GED required
- 2–3 years of experience in healthcare billing, refunds, disputes, or revenue cycle management
- Ambulance billing experience strongly preferred
- Knowledge of Medicare, Medicaid, and commercial insurance billing guidelines
- Familiarity with HIPAA and healthcare compliance standards
- Strong attention to detail and accuracy
- Understanding of EOBs, ERAs, recoupments, and payer correspondence
- Proficiency with billing systems and Microsoft Office (Excel, Word)
- Excellent written and verbal communication skills
Premier Ambulance, Inc. Brea, California, USA Office
Brea, CA, United States
Similar Jobs
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Leads enterprise billing, accounts receivable, collections, and Finance components of Lead-to-Cash transformation. The role designs scalable operating models, improves billing quality, realization, collections, DSO, cash conversion, reporting, controls, and automation. It manages onshore and offshore teams, partners with Finance, Operations, Technology, ERP, and business leaders, oversees process redesign and vendor implementations, establishes performance governance, and develops talent and service standards.
Top Skills:
Ai-Enabled CapabilitiesDashboardsData IntegrationsErp SystemsWorkday Financial ManagementWorkflow Automation
Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Supports revenue forecasting, budgeting, financial modeling, variance analysis, and recurring reporting across utilization, realization, WIP, AR, margins, backlog, and staffing metrics. Partners with accounting, billing, and business teams on close processes, M&A integration, reporting controls, dashboards, and revenue performance insights. Provides recommendations to finance and business leaders to improve planning, identify revenue leakage, and manage cash conversion risks.
Top Skills:
Excel
Aerospace • Information Technology • Software • Cybersecurity • Design • Defense • Manufacturing
Supports industrial security programs by conducting compliance reviews, administrative inquiries, COMSEC activities, personnel security processing, security briefings, records management, inventories, and operational security procedures. Coordinates with security teams, Boeing personnel, engineers, and government customers to protect classified information, resolve deficiencies, obtain approvals, and maintain compliance with government and company requirements.
Top Skills:
ComsecDissJadeJadsExcelMicrosoft OutlookMicrosoft TeamsMicrosoft WordScattered CastlesSims
What you need to know about the Los Angeles Tech Scene
Los Angeles is a global leader in entertainment, so it’s no surprise that many of the biggest players in streaming, digital media and game development call the city home. But the city boasts plenty of non-entertainment innovation as well, with tech companies spanning verticals like AI, fintech, e-commerce and biotech. With major universities like Caltech, UCLA, USC and the nearby UC Irvine, the city has a steady supply of top-flight tech and engineering talent — not counting the graduates flocking to Los Angeles from across the world to enjoy its beaches, culture and year-round temperate climate.
Key Facts About Los Angeles Tech
- Number of Tech Workers: 375,800; 5.5% of overall workforce (2024 CompTIA survey)
- Major Tech Employers: Snap, Netflix, SpaceX, Disney, Google
- Key Industries: Artificial intelligence, adtech, media, software, game development
- Funding Landscape: $11.6 billion in venture capital funding in 2024 (Pitchbook)
- Notable Investors: Strong Ventures, Fifth Wall, Upfront Ventures, Mucker Capital, Kittyhawk Ventures
- Research Centers and Universities: California Institute of Technology, UCLA, University of Southern California, UC Irvine, Pepperdine, California Institute for Immunology and Immunotherapy, Center for Quantum Science and Engineering
