Credit Resolution Representative II

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

📋 Description

• Process credit account balances from patients and insurance providers within the revenue operations of the Hospital and/or Medical Group.

• Minimize accounts receivable credit balances.

• Liaise with insurance companies and collaborate with customer service regarding patient overpayments.

• Identify root causes of credit balances and implement necessary actions to fully resolve accounts.

• Record insurance payments and rejections while rebilling claims as required.

• Examine, oversee, and follow up on credit accounts receivable from insurance, patients, and Medicare.

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

• Monitor payment activity and findings for the Supervisor.

• Execute account adjustments or write-offs in accordance with policies.

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

• Provide insights to the Cash Posting team.

• Act as a backup for Payment Posting Representatives.

• Prepare and issue refund checks to patients and insurers, entering data into the appropriate system.

• Encourage precise cash posting and reconciliation.

• Post incoming payments promptly and efficiently.

• Submit, track, trend, and report cash-posting-related processes to essential stakeholders.

• Report directly to the Supervisor of Payment Posting.

• Maintain awareness of applicable laws, regulations, Trinity Health compliance requirements, Code of Conduct, policies, and procedures.

⛳️ Requirements

• High school diploma or Associate's degree in Accounting, Business Administration, or a related field, with up to three (3) or more years of relevant experience, or an equivalent combination of education and experience.

• Knowledge of revenue cycle functions and systems.

• Experience working in a hospital or clinic setting, health insurance company, managed care organization, or another healthcare financial service environment.

• Experience in medical claims processing, financial counseling, financial clearance, accounting, or customer service activities.

• CPA certification is preferred.

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

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

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

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

• High levels of accuracy, attention to detail, and time management skills.

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

• Comfortable working in a collaborative, shared leadership environment.

• Ability to demonstrate honesty, integrity, compassion, and commitment to the mission, vision, goals, and values of Trinity Health.

• Capacity to operate a keyboard and communicate frequently via telephone and in person.

• Ability to focus, meet deadlines, manage multiple projects concurrently, adapt to interruptions, prioritize tasks, and adhere to Trinity Health policies and procedures.

🏝️ Benefits

• Remote work position.

• Equal Opportunity Employer.

• Work environment is well-lit, temperature-controlled, and free from hazards.