Credit Resolution Representative – I

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

📋 Description

• Manages credit account balances for patients and insurance entities within hospital and/or medical group revenue operations.

• Minimizes patient account receivable credits and collaborates with customer service on patient overpayments.

• Identifies root causes contributing to credit balances and implements necessary actions for full account resolution.

• Processes patient balance refunds and resubmits claims when necessary.

• Evaluates, oversees, and follows up on patient credit accounts receivable as part of the revenue cycle.

• Records corrections, discrepancies, outstanding issues, exceptions, rejections, and follow-up actions in relevant systems.

• Monitors payment activities and findings for the Supervisor.

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

• Investigates credit balances resulting from payment postings and prepares necessary documentation.

• Acts as a backup for Payment Posting Representatives.

• Generates patient refund checks and inputs data into appropriate systems.

• Conducts cash posting and reconciliation tasks accurately and promptly.

• Reports to the Supervisor of Payment Posting.

⛳️ 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 similar healthcare financial service environment, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or an equivalent combination of education and experience.

• Familiarity with health insurance and governmental programs, regulations, and billing processes, including Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts, and coordination of benefits is highly preferred.

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

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

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

• Excellent interpersonal skills for engaging with internal and external customers.

• Strong attention to detail, accuracy, and effective time management skills.

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

• Comfortable functioning in a collaborative, shared leadership environment.

• Ability to adhere to Trinity Health policies and procedures.

🏝️ Benefits

• Competitive salary and comprehensive health benefits.

• Opportunities for professional development and career advancement.

• Supportive work environment and team-oriented culture.

• Flexible work schedule options.