Credit Resolution Specialist

A company is looking for a Credit Resolution Specialist - Remote.

Key Responsibilities

Perform refund and credit analyses for various payors and ensure appropriate actions are taken to resolve credit balances

Conduct quarterly reviews for Medicare and Medicaid and manage desk inventory while documenting credit balance review activities

Handle correspondence from payers and patients regarding refunds and communicate issues to management

Required Qualifications

High School Diploma or equivalent experience preferred

1 - 3 years' experience in a hospital business environment performing billing and / or follow-up functions preferred

Entry-level understanding of hospital billing form requirements (UB04 and HCFA 1500)

Entry-level knowledge of ICD-10, HCPCS / CPT coding, and medical terminology

Understanding of Managed Care contracts and government Medicare / Medicaid regulations preferred