Credit Resolution Rep

Overview:

Responsible for reviewing accounts in a credit balance whether in a work queue, from a worklist, or other method to determine and perform the appropriate actions needed to resolve the account. Actions could involve, but are not limited to, verifying the accuracy of the expected reimbursement calculation, the contractual adjustment, the manual adjustments, and the payments posted on the account. Credits may be either patient or insurance related for both hospital and physician accounts. If a refund is required, this position will perform the appropriate steps in the billing system to generate the refund. Additionally, he/she identifies trends, determines root causes for credits, and works with the appropriate parties to optimize the system and minimize false credits. This position reports to the Credit Resolution Supervisor.

Responsibilities:

Responsible for reviewing accounts in a credit balance whether in a work queue, from a worklist, or other method to determine and perform the appropriate actions needed to resolve the account. Actions could involve, but are not limited to, verifying the accuracy of the expected reimbursement calculation, the contractual adjustment, the manual adjustments, and the payments posted on the account. Credits may be either patient or insurance related for both hospital and physician accounts. If a refund is required, this position will perform the appropriate steps in the billing system to generate the refund. Additionally, he/she identifies trends, determines root causes for credits, and works with the appropriate parties to optimize the system and minimize false credits. This position reports to the Credit Resolution Supervisor.

 

**Remote/Work from home**

Qualifications:

Education

• H.S. Diploma or General Education Degree (GED) Required

Work Experience

• 2 years of experience required in one of the following: 
• Healthcare 
• Revenue Cycle (any industry)
• Relevant clerical, accounting, finance, retail work 
• Healthcare Revenue Cycle experience, preferably resolving credit balances Preferred
• Prior Epic experience Preferred

Licenses and Certifications

• None Required

Business Unit : Company Name: Piedmont Healthcare Corporate