Credit Resolution Specialist

4 days ago


Frisco, Texas, United States Conifer Revenue Cycle Solutions Full time
Job Summary

Conifer Revenue Cycle Solutions is seeking a skilled Credit Resolution Representative to join our team. As a key member of our Hospital Revenue Cycle Management team, you will be responsible for performing refunds and credit analyses functions.

Key Responsibilities
  • Perform refund and credit analyses, audit and reimbursement functions for all Managed Care, Commercial, Medicare, Medicaid, Self-pay and third party payors for all patient accounts.
  • Conduct Quarterly reviews for Medicare and Medicaid (based on state guidelines) and submit to client for approval, signature and submission.
  • Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
  • Accurately and thoroughly document the pertinent credit balance review activity performed.
  • Communicate issues to management, including payer, system or escalated account issues.
  • Handle correspondence received from payers and patients requesting refunds.
  • Participate and attend meetings, training seminars and in-services to develop job knowledge.
Requirements
  • Entry level understanding of hospital billing form requirements (UB04 and HCFA 1500).
  • Entry level knowledge of ACE/PBAR/STAR/Meditech or EPIC preferred.
  • Entry level knowledge of ICD-10, HCPCS/CPT coding and medical terminology.
  • Entry level writing skills.
  • Contract Interpretation skills greatly preferred.
  • Understanding and interpretation of Managed Care contracts.
  • Understanding of Gov't Medicare and multiple state Medicaid programs payor regulations (if Gov't team).
Benefits
  • Competitive hourly rate of $25.70.
  • Position may be eligible for a signing bonus for qualified new hires.
  • Conifer observed holidays receive time and a half.
  • Medical, dental, vision, disability, and life insurance.
  • Paid time off (vacation & sick leave) – min of 12 days per year.
  • 401k with up to 6% employer match.
  • 10 paid holidays per year.
  • Health savings accounts, healthcare & dependent flexible spending accounts.
  • Employee Assistance program, Employee discount program.


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