Credit Resolution Representative

Job Summary

A company is looking for a Credit Resolution Representative responsible for managing refunds and credit analyses within the Hospital Revenue Cycle Management team.

Key Responsibilities

• Perform refund and credit analyses for various payors and ensure appropriate resolution actions
• Conduct quarterly reviews for Medicare and Medicaid and submit for client approval
• Manage desk inventory, complete reports, and communicate issues to management

Required Qualifications

• High School Diploma or equivalent experience preferred
• 1 - 3 years of experience in a hospital business environment preferred
• Entry level understanding of hospital billing forms (UB04 and HCFA 1500)
• Entry level knowledge of ICD-10, HCPCS/CPT coding, and medical terminology preferred
• Understanding of Managed Care contracts and government payor regulations preferred