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Credit Resolution Representative-I (PB) - PFS (Remote) (Healthcare)
17 - 26$
Описание вакансии
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TL;DR
Credit Resolution Representative-I (PB) - PFS (Remote) (Healthcare): Processing patient and insurance credit balances, refunds, rebilled claims, and account adjustments within hospital revenue-cycle operations with an accent on payment posting, account reconciliation, and accurate claims adjudication. Focus on researching root causes of credit balances, resolving account discrepancies, and coordinating patient overpayment communications.
Location: Remote position associated with Farmington Hills, Michigan, United States
Salary: $17.4969–$26.2454 per hour
Company
provides hospital and medical group healthcare services.
What you will do
- Review, monitor, and follow up on patient credit accounts receivable within the revenue cycle process.
- Research credit balances caused by payment posting and identify root causes of account discrepancies.
- Post patient refunds, prepare refund checks, and enter transactions into the appropriate systems.
- Rebill claims and perform account adjustments or write-offs in accordance with policy.
- Document corrections, rejections, exceptions, and follow-up activities for accurate claim histories.
- Track payment activity and findings, support cash posting and reconciliation, and provide backup to Payment Posting Representatives.
Requirements
- High school diploma or an Associate's degree in Accounting or Business Administration.
- At least two years of relevant experience in healthcare revenue cycle operations, medical claims processing, financial counseling, financial clearance, accounting, or healthcare customer service.
- Knowledge of health insurance, governmental programs, billing processes, Medicare, Medicaid, managed care contracts, and coordination of benefits is highly desired.
- Proficiency in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
- Strong written and verbal communication, organization, accuracy, attention to detail, time management, and interpersonal skills.
- Ability to work collaboratively, manage multiple priorities, meet deadlines, and follow compliance policies and procedures.
Culture & Benefits
- Full-time remote work with a day shift schedule.
- Work in a collaborative, shared-leadership environment.
- Responsibilities are performed in a structured, well-lit, temperature-controlled office environment.
- Work includes frequent communication with internal and external customers by phone and in person.
- Equal opportunity employment grounded in dignity, inclusion, integrity, and person-centered care.