Credit Resolution Representative

Job Summary

A company is looking for a Credit Resolution Representative - Remote.

Key Responsibilities

• Perform refund and credit analyses for various payors and ensure appropriate actions are taken to resolve credit balances
• Conduct quarterly reviews for Medicare and Medicaid, submitting findings for client approval
• Manage desk inventory, complete reports, and document credit balance review activities accurately

Required Qualifications, Training, and Education

• High School Diploma or equivalent experience preferred
• 1 - 3 years of experience in a hospital business environment performing billing and/or follow-up functions preferred
• Entry-level understanding of hospital billing form requirements (UB04 and HCFA 1500)
• Entry-level knowledge of ICD-10, HCPCS/CPT coding, and medical terminology
• Understanding of Managed Care contracts and government payor regulations preferred