Credit Resolution Representative-I (Hospital Credits) - PFS (Remote)
$35,680–$53,520 year
Remote · United States
Job Summary
Process patient credit balances and refunds within Hospital and Medical Group revenue operations; post refunds and rebill claims to maintain manageable accounts receivable and ensure accurate submission of patient statements; identify root causes of credit balances and take appropriate steps to resolve issues for full adjudication; coordinate with the customer service team to communicate with patients about overpayments; provide back-up support to Payment Posting Representatives; maintain data on payment activity and collaborate with Supervisors; ensure compliance with applicable laws and Trinity Health policies; perform cash posting to ensure timely posting and reconciliation; demonstrated accuracy, attention to detail, and ability to manage multiple tasks in a healthcare financial services setting; remote, day-shift role with focus on revenue cycle activities.
Required Qualifications
- High school diploma or Associate's degree in Accounting or Business Administration
- at least two (2) years of experience and relevant knowledge of revenue cycle functions and systems within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities or an equivalent combination of education and experience.
- Experience with health insurance regulations and billing processes such as Medicare/Medicaid
- Proficient in Microsoft Office (Outlook, Word, PowerPoint, Excel)
- Strong written and verbal communication skills
- Strong attention to detail and time management
- Ability to work in a collaborative, shared leadership environment
- Preferred: regulatory/mandatory certifications and skills validation competencies
- Comfortable operating in a remote work environment
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