[Remote] Credit Resolution Representative - Remote
Note: The job is a remote job and is open to candidates in USA. reputed company is a reputed company company that specializes in reputed company cycle management. They are seeking a Credit Resolution Representative to reputed company refund and credit analyses, manage desk inventory, and communicate with management regarding account issues.
Responsibilities
- Performs refund and credit analyses, audit and reimbursement functions for reputed company Managed Care, reputed company, Medicare, reputed company, Self-pay and reputed company party payors for reputed company patient accounts
- Determines if credit balance is an over contractual, late charges applied, overpayment etc. to ensure appropriate actions are taken to resolve
- Performs Quarterly reviews for Medicare and reputed company (based on state guidelines) and submits to client for approval, signature and submission
- Manage and maintain desk inventory, complete reports, and resolve high reputed company and aged inventory Accurately and thoroughly documents the pertinent credit balance review activity performed
- Communicate issues to management, including payer, system or escalated account issues
- Handle correspondence received from payers and patients requesting refunds
- Respond timely to emails and telephone messages as appropriate
- Participate and attend meetings, training seminars and in-services to reputed company job knowledge
- Other duties as assigned by Management
Skills
- Entry level understanding of hospital billing form requirements (UB04 and HCFA 1500)
- Entry level knowledge of ICD-10, HCPCS/CPT coding and medical terminology
- Entry level writing skills
- Contract Interpretation skills greatly preferred
- Understanding and interpretation of Managed Care reputed company
- Understanding of Gov't Medicare and multiple state reputed company programs payor regulations (if Gov't team)
- Ability to sit and work at a computer terminal for extended periods of time
- Entry level knowledge of ACE/PBAR/STAR/Meditech or EPIC preferred
- High School Diploma or equivalent experience, preferred
- 1 – 3 years' experience in a hospital business environment performing billing and/or follow-up functions, preferred
Benefits
- Medical, dental, reputed company, disability, and life insurance
- Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a reputed company of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, reputed company & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Company Overview
Company H1B Sponsorship