Role Description The Credit Balance Specialist plays a vital role in Digitech’s revenue cycle operations by ensuring that all refunds are processed accurately, timely, and in full compliance with payer regulations and organizational policies. This position is responsible for: - Receiving, reviewing, and processing refund requests in accordance with payer rules, internal procedures, and regulatory requirements. - Accurately posting and recording refund transactions in the billing system, ensuring proper documentation and audit-ready financial records. - Researching account histories to verify refund validity, payment sources, EOB details, and overpayment rationale. - Communicating with external stakeholders, including attorneys, no-fault carriers, workers’ compensation representatives, and the VA as needed to confirm refund details or request supporting documentation. - Interpreting and understanding Explanations of Benefits (EOBs) to determine refund justification and payment disposition. - Collaborating closely with internal teams, including Payment Posting, Billing, QA, and Client Services, to resolve discrepancies and ensure accurate account adjustments. - Ensuring refunds are processed within required timeframes, meeting daily productivity goals and departmental service level expectations. - Maintaining detailed, accurate notes documenting actions taken, communication, and financial adjustments. - Identifying discrepancies, patterns, or repeat issues and escalating them to the Department Manager for resolution or process improvement. - Handling mail, emails, and refund correspondence, ensuring proper follow-through and documentation. - Supporting compliance efforts, ensuring all refund processes meet HIPAA, payer, and internal standards. - Performing additional job duties as assigned. Qualifications - High School Diploma or equivalent. - Strong ability to multi-task and manage a high-volume workload while maintaining accuracy. - Collaborative team player capable of working effectively across internal departments and with external partners. - Professional, pleasant, and confident demeanor in verbal and written communication. - Ability to remain calm, organized, and focused under pressure. - High computer literacy, including ease working with dual monitors and navigating multiple systems simultaneously. - Excellent follow-through and problem-solving abilities. - Strong mathematical skills and comfort handling financial calculations. - Proficiency in reading and interpreting Explanations of Benefits (EOBs). - Strong attention to detail and commitment to accuracy. - Ability to meet deadlines and maintain high productivity. - Previous experience handling refunds, payment posting, or medical billing is helpful. - Dependable, punctual, and accountable with a strong work ethic. - Ability to independently manage all aspects of the job role including required goals and business practices in a remote environment. Benefits - Competitive salary, commensurate with experience. - Comprehensive benefits package, including 401(k) Plan.

• Install the Operating System • Document the Core Processes • Own the Product Roadmap • Produce Early Revenue

The Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Sr. Associate, you will engage with clients to optimize their operational efficiency through the analysis, implementation, and support of insurance transformation. Within our P&C Insurance Operations practice, you will leverage your understanding of various software solutions to help clients achieve their strategic objectives. As a Senior Associate, you will focus on building meaningful client connections and learning how to manage and inspire others. You will navigate complex situations, growing your personal brand and enhancing your technical skills. You are expected to anticipate the needs of your teams and clients, delivering quality solutions even when the path forward is unclear. In this role, you will be part of a dynamic team that specializes in consulting services for a variety of business applications. You will provide training and support for seamless integration and utilization of these applications, enabling clients to reach their goals. Your role will involve using a broad range of tools and methodologies to generate new ideas and solve problems, while upholding professional and technical standards. This is an opportunity to deepen your understanding of the business context and contribute to the success of our clients in the financial services sector. Responsibilities - Analyzing client needs to implement and support business application solutions - Leveraging analytical reasoning to optimize operational efficiency for clients - Providing training and support for seamless integration of business applications - Utilizing business data analytics to inform strategic planning and decision-making - Implementing technology solutions to enhance client operations in the insurance sector - Managing project delivery and resource allocation to meet client objectives - Developing documentation to support application software implementation - Collaborating with teams to drive business transformation initiatives - Applying problem-solving skills to address complex client challenges - Building and maintaining meaningful client relationships to anticipate needs What You Must Have - At least a Bachelor's degree in one of the following fields of study: Accounting, Computer and Information Science, Finance, Information CyberSecurity, Information Technology, Management Information Systems - At least 2 years of experience What Sets You Apart - Utilizing analytical reasoning to navigate complex insurance scenarios - Demonstrating proficiency in business data analytics for informed decision-making - Excelling in project management to deliver seamless client solutions - Implementing technology innovations to enhance claims operations - Embracing change and fostering a culture of continuous improvement - Developing strategic planning skills to anticipate client needs - Building meaningful client connections through effective communication The salary range for this position is: $77,000 - $202,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: https://pwc.to/benefits-at-a-glance As PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. Learn more about how we work: https://pwc.to/how-we-work For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all. Applications will be accepted until the position is filled or the posting is removed, unless otherwise set forth on the following webpage. Please visit this link for information about anticipated application deadlines: https://pwc.to/us-application-deadlines

• drive fulfillment rate up by closing supply-demand gaps before they cost us a booking • keep professional utilization healthy and reduce unfulfillment week over week • resolve customer issues with empathy and speed so satisfaction scores keep rising • own clean, accurate reporting on utilization, unfulfillment, and quality so the team decides on facts, not guesses • run outbound calls to quality-grading standards and contribute to projects that make the operation faster and better