Credit Resolution Rep

3 weeks ago


Atlanta, United States Piedmont Healthcare Corporate Full time

Description:
RESPONSIBLE FOR:
The Credit Resolution Representative is primarily responsible for monitoring and resolving credit activity that is housed in credit work queues as well refund request letters received from governmental and commercial carriers. This individual reviews the specifics regarding charges, accuracy of reimbursement to expected reimbursement and how that payment was posted to the billing system to determine if a true credit exits. If a refund is required, the Credit Resolution Representative will perform the appropriate steps in the billing system to generate the refund. The Credit Resolution Representative also, looks for trends that exist and the root cause for credits and works with the appropriate parties to minimize refunds. The Credit Resolutions Representative reports to the Manager of Payment Applications.

Qualifications:

MINIMUM EDUCATION REQUIRED:
High School diploma or GED equivalent.

MINIMUM EXPERIENCE REQUIRED:
At least two (2) years prior related Healthcare or Revenue Cycle experience, preferably within credit balance resolution.

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
None

ADDITIONAL QUALIFICATIONS:
Prior experience in conducting account inquiries and analysis to investigate and evaluate the payment methodology and accuracy preferred. Prior Epic experience. Experience with any of Piedmont Healthcare's legacy financial systems preferred.



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