Credit Resolution Representative-I (HB) - PFS (Remote)

Location: Remote position associated with Farmington Hills, Michigan; Syracuse, New York; Davenport, Iowa; Maywood and Melrose Park, Illinois; and Rockford, Michigan

Salary: $17.4969–$26.2454 per hour

Company

hirify.global provides hospital and medical group healthcare services supported by patient business and revenue cycle operations.

What you will do

• Review, monitor, and follow up on patient credit accounts receivable within the healthcare revenue cycle.
• Research the causes of credit balances and document discrepancies, rejections, exceptions, and follow-up activities.
• Prepare patient refund checks, post refunds, process account adjustments or write-offs, and reconcile cash postings.
• Rebill claims and support accurate submission of claims and patient statements.
• Track payment activity and findings for the Payment Posting Supervisor and provide backup support to Payment Posting Representatives.
• Coordinate with customer service teams regarding patient overpayments and account resolution.

Requirements

• High school diploma or an Associate's degree in Accounting or Business Administration, plus at least two years of relevant experience or an equivalent combination of education and experience.
• Experience with revenue cycle functions, medical claims processing, financial counseling, financial clearance, accounting, or customer service in a healthcare financial setting.
• 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, interpersonal, organizational, accuracy, attention-to-detail, and time-management skills.
• The position is remote but is associated with listed U.S. locations.

Culture & Benefits

• Full-time day-shift employment.
• Collaborative, shared-leadership work environment.
• Work is performed in a typical office environment with frequent telephone and in-person communication.
• Requires concentration, deadline management, prioritization, adaptability, and the ability to manage multiple concurrent tasks.
• Work is guided by hirify.global's mission, values, compliance program, and code of conduct.