Credit Resolution Representative

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

Jun 23, 2025 - 17:40
 0
Credit Resolution Representative
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