Credit Resolution Rep

Piedmont Healthcare • Atlanta, GA

2d • Remote

About The Position

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.

Requirements

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

Nice To Haves

• Prior Epic experience Preferred

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED