Credit Resolution Representative – II

🕒 6 days ago

🚗 Michigan – Remote

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💵 $19 - $29 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

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Logo of Trinity Health

Trinity Health

10,000+ employees

🏥 Healthcare

🤝 Non-profit

🏨 Hospitality

🔥 Funding within the last year

💰 $20k Grant - Trinity Health on 2025-10

Healthcare • Non-profit • Hospitality

Trinity Health is one of the largest not-for-profit, faith-based healthcare systems in the United States. With approximately 127,000 colleagues and over 38,300 physicians and clinicians, it provides a wide range of medical services and care to diverse communities across 26 states. The organization emphasizes its mission-driven, faith-based values, community impact, employee benefits, and career opportunities including travel nursing through its FirstChoice program. Headquarters are listed in Livonia, Michigan. Trinity Health focuses on patient care, community health, and supporting a large workforce of clinical and non-clinical staff.

📋 Description

• Process credit account balances from patients and insurance companies within hospital and medical group revenue operations • Reduce accounts receivable credits and communicate with insurance companies • Coordinate with customer service teams regarding patient overpayments • Determine root causes of credit balances and take appropriate steps for full account adjudication • Post insurance payments and rejections and rebill claims as needed • Maintain manageable credit accounts receivable and ensure accurate claims and patient statements • Review, monitor, and follow up on insurance, patient, and Medicare credit accounts receivable • Document corrections, discrepancies, outstanding items, exceptions, rejections, and follow-up activities in appropriate systems • Track payment activity and findings for the Supervisor • Perform account adjustments and write-offs according to policy • Research credit balances and prepare documentation • Provide feedback to the Cash Posting team • Serve as backup to Payment Posting Representatives • Prepare refund checks for patients and insurance companies and enter data into the appropriate system • Promote accurate cash posting and reconciliation • Post incoming payments in a timely and effective manner • Submit, track, trend, and report cash-posting processes to key stakeholders • Report directly to the Supervisor Payment Posting • Maintain knowledge of applicable laws, regulations, Trinity Health compliance program, Code of Conduct, policies, and procedures

🎯 Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or related field, with up to three (3) or more years of relevant knowledge and experience, or equivalent combination of education and experience • Relevant knowledge of revenue cycle functions and systems • Experience in a hospital or clinic environment, health insurance company, managed care organization, or other health care financial service setting • Experience performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities • Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel • Excellent written and verbal communication skills and organizational abilities • Strong interpersonal skills with internal and external customers • Strong accuracy, attention to detail, and time management skills • Completion of regulatory/mandatory certifications and skills validation competencies preferred • Comfortable operating in a collaborative, shared leadership environment • Ability to demonstrate honesty, integrity, caring, and alignment with Trinity Health's mission, vision, goals, and values • Ability to communicate frequently in person and by telephone • Manual dexterity to operate a keyboard • Ability to concentrate, meet deadlines, manage multiple projects, and adapt to interruptions • Ability to organize work priorities and adapt to frequent changes • Ability to work concurrently on varied tasks/projects in a potentially stressful environment • Ability to comply with Trinity Health policies and procedures

🏖️ Benefits

• Remote work position • Equal Opportunity Employer commitment • Mission- and values-based work environment

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