Medical Biller

Healthcare Credit Balance Specialist: Overpayments, Insurance Refunds and Account Reconciliation (Night Shift, Onsite Cebu).

Salary package: PHP 30,000 to 38,000 a month, depending on experience and healthcare billing background.

A Credit Balance Specialist finds the money that landed in the wrong place and puts it right. On a dedicated team in Cebu that supports a United States healthcare revenue cycle company and the hospitals and practices it serves, you review patient and insurance accounts that carry a credit balance, reconcile the system of record against the local billing system, work out why an overpayment or a discrepancy happened, and resolve it: an adjustment, a corrected record or an insurance refund, each one documented to the client's policies and regulatory requirements. This is detail work first: Excel, remittance detail and precision are the job. We are adding to this team now. Night shift aligned to United States business hours, onsite in Cebu Business Park, Monday to Friday.

What success looks like

Twelve months in, the credit balances on your list are explained and cleared. Every account you touch reconciles between the system of record and the local system, every overpayment has a documented root cause and a resolution, refunds go to the right payer or patient for the right amount, and your notes let anyone pick up an account where you left it. Your accuracy holds steady month after month, your work stands up to audit, and you raise a pattern, a payer overpaying or a posting error repeating, to the team lead before it becomes a backlog.

What you will do

• Review, reconcile and resolve healthcare overpayments, insurance refunds and account discrepancies.
• Account review: perform thorough reviews of accounts in the system of record and the corresponding accounts in the local system.
• Reconciliation: compare account balances, transactions and other relevant data between the system of record and the local system, and identify any inconsistencies or discrepancies.
• Investigation: investigate and analyze the root causes of discrepancies, working closely with the relevant teams or departments to gather the necessary information.
• Resolution: take proactive steps to resolve discrepancies, including adjusting account balances, updating records, or implementing corrective actions as needed.
• Documentation: maintain detailed documentation of reconciliation processes, findings and resolutions, ensuring compliance with company policies and regulatory requirements.

What we are looking for

• Proficiency with Microsoft Excel and a financial reconciliation tool is a must.
• A strong understanding of electronic Explanations of Benefits (EOBs), Electronic Remittance Advices (ERAs) and payer remittance trends.
• A background in hospital or professional healthcare billing is preferred but not required.
• Experience in account reconciliation in the BPO field is highly considered.
• A high precision target and strong attention to detail.
• Clear written English for account notes and documentation.
• Living in Cebu and available onsite in Cebu Business Park on the night shift, Monday to Friday.

Preferred background, and candidates with experience in any of these are encouraged to apply: Accounts Reconciliation; Healthcare Payment Posting; Financial Services Representative; Healthcare Collections; Revenue Cycle Management (RCM).

You may know this role as: Credit Balance Analyst, Overpayment Specialist, Refund Specialist, Payment Posting Specialist, Cash Posting Specialist, Account Reconciliation Specialist, Healthcare Billing Specialist, or Revenue Cycle Specialist.

Who does well here

The people who do well on this team are exact and patient with numbers. They compare two systems line by line without losing the thread, they read an EOB or an ERA and see where a payment landed wrong, and they do not close an account until the balance is explained. They keep a clean record of every finding and every fix, because a refund without a paper trail is a problem later. They follow the client's policies and the regulatory rules on every account even when a shortcut is tempting, they ask when a discrepancy does not add up rather than forcing it, they show up for every shift on time, and they keep the same precision on the last account of the night as on the first. They are open to new tools, including AI tools that take the routine parts of the job off their plate, and they flag a repeating error to the team lead before it becomes a backlog.

What you get: Salary package of PHP 30,000 to 38,000 a month, depending on experience and healthcare billing background, with salary appraisals; HMO and health insurance; night differential and holiday premium pay; service incentive leave upon regularization; a Monday to Friday schedule with weekends off; stable full-time employment as a direct hire, with real opportunity and growth; and a healthy work environment with employee engagement activities.

How we hire: apply here on LinkedIn. Every applicant gets a reply. The process is a screening call in our evening, a short assessment and an interview with the account manager; some roles add a final interview with the client's team by video on our shift. We aim to move within days, not weeks; we are shortlisting this week for an immediate start.

About Staff Outsourcing Solutions: we build dedicated teams in Cebu for businesses in the United States and Australia. Our team members work inside our clients daily operations in customer service, sales, accounting, technical support, and specialist roles. We hire for experience and character, we develop interns from partner colleges into full team members, and we keep the same team with a client for years. Founded in 2010, we have grown mostly by referral, which only happens when clients and team members stay. Office: MDCT Building, Leyte Loop, Cebu Business Park, Cebu City. Website: staffoutsourcing.com. Careers: staffoutsourcing.com/careers/job-posting. Posted by Chris Rush, founder.

Staff Outsourcing Solutions never asks applicants for payment, training fees, or personal documents before a written job offer.