Credit Resolution Representative

A company is looking for a Credit Resolution Representative - Remote. Key Responsibilities Perform refund and credit analyses, audit, and reimbursement functions for various payors Conduct quarterly reviews for Medicare and Medicaid, submitting for client approval Manage desk inventory, complete reports, and document credit balance review activities Required Qualifications High School Diploma or equivalent experience preferred 1 - 3 years' 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 Medicare/Medicaid regulations preferred

Mar 5, 2025 - 00:57

A company is looking for a Credit Resolution Representative - Remote. Key Responsibilities Perform refund and credit analyses, audit, and reimbursement functions for various payors Conduct quarterly reviews for Medicare and Medicaid, submitting for client approval Manage desk inventory, complete reports, and document credit balance review activities Required Qualifications High School Diploma or equivalent experience preferred 1 - 3 years' 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 Medicare/Medicaid regulations preferred