Credit Resolution Representative – I

Job not on LinkedIn

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $17 - $26 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Processes credit account balances from patients and insurance companies within hospital and/or medical group revenue operations • Reduces patient balance accounts receivable credits and coordinates with customer service regarding patient overpayments • Determines root causes of credit balances and takes appropriate steps to fully adjudicate accounts • Posts patient balance refunds and rebills claims as needed • Reviews, monitors, and follows up on patient credit accounts receivable as part of the revenue cycle process • Documents corrections, discrepancies, outstanding items, exceptions, rejections, and follow-up activities in appropriate systems • Tracks payment activity and findings for the Supervisor • Performs account adjustments or write-offs according to policy • Researches credit balances caused by payment posting and prepares documentation • Serves as backup to Payment Posting Representatives • Prepares patient refund checks and enters data into appropriate systems • Performs cash posting and reconciliation activities accurately and timely • Reports to the Supervisor Payment Posting

🎯 Requirements

• High school diploma or Associate's degree in Accounting or Business Administration with 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 • Knowledge of health insurance and governmental programs, regulations, and billing processes, including Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts and coordination of benefits highly desired • Experience in a complex, multi-site environment preferred • Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel • Excellent written and verbal communication skills and organizational abilities • Strong interpersonal skills in interacting 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 comply with Trinity Health policies and procedures