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Credit Resolution Representative

10/4/2025

Remote

Job Summary

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 and manage desk inventory
  • Communicate issues to management and handle correspondence from payers and patients
Required Qualifications, Training, and Education
  • High School Diploma or equivalent experience preferred
  • 1 - 3 years' experience in a hospital business environment 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

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