Credit Resolution Representative – I

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Manage credit account balances from patients and insurers as part of the hospital and medical group revenue operations.

• Evaluate, monitor, and follow up on patient credit accounts receivable within the revenue cycle process.

• Identify root causes of credit balances and take necessary actions for complete account resolution.

• Process patient balance refunds and rebill claims as required.

• Record discrepancies, corrections, outstanding items, exceptions, rejections, and follow-up activities in the designated systems.

• Monitor payment activities and findings for the Supervisor.

• Carry out account adjustments or write-offs in accordance with policy.

• Investigate credit balances resulting from payment posting and prepare necessary documentation.

• Act as a backup for Payment Posting Representatives.

• Generate patient refund checks and input data into the appropriate systems.

• Execute accurate cash posting and reconciliation processes.

• Submit, monitor, analyze, and report cash-posting activities to relevant stakeholders.

• Engage with patients and collaborate with the customer service team regarding overpayments.

• Report directly to the Supervisor of Payment Posting.

• Uphold Trinity Health's Mission, Vision, and Values while adhering to all applicable laws, regulations, compliance requirements, and policies.

⛳️ Requirements

• High school diploma or Associate's degree in Accounting or Business Administration, with a minimum of two (2) years of relevant experience and knowledge of revenue cycle functions and systems in a hospital or clinic setting, a health insurance company, managed care organization, or other health care financial service environment, involving medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or an equivalent combination of education and experience.

• Basic understanding of health insurance and government programs, regulations, and billing processes, such as Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts, and coordination of benefits is highly desirable.

• Experience in a complex, multi-site environment is preferred.

• Proficient in Microsoft Office applications, including Outlook, Word, PowerPoint, and Excel.

• Outstanding written and verbal communication skills along with strong organizational abilities.

• Excellent interpersonal skills for interacting with both internal and external customers.

• Strong emphasis on accuracy, attention to detail, and time management abilities.

• Completion of regulatory or mandatory certifications and skills validation competencies is preferred.

• Comfortable working in a collaborative, shared leadership environment.

• Must demonstrate a personal presence marked by honesty, integrity, and compassion, with the capability to inspire and motivate others to support Trinity Health's philosophy, mission, vision, goals, and values.

• Ability to function in a typical office setting and communicate frequently in person and via telephone.

• Capable of focusing, meeting deadlines, managing multiple projects simultaneously, adapting to interruptions, organizing work priorities, and complying with Trinity Health policies and procedures.

🏝️ Benefits

• Comprehensive health coverage options.

• Retirement savings plan with employer matching.

• Opportunities for professional development and continuing education.

• Generous paid time off and holiday benefits.

• Employee assistance programs and wellness initiatives.