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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