[Hiring] Credit Resolution Representative-I @Trinity Health

Role Description

Work Remote Position (Pay Range: $17.1538-$25.7307)

• Performs day-to-day activities required to process credit account balances from patients and insurances within the Hospital and/or Medical Group revenue operations ($3-5B NPR) of a Patient Business Services (PBS) location.
• Serves as a member of a team at an assigned PBS location responsible for reducing patient balance account receivable credits and coordinating with the customer service team to communicate to patients regarding overpayments.
• Responsibilities require expertise in determining the root cause of credit balances and in taking the appropriate steps to resolve issues resulting in full adjudication of an account.
• Work activities include posting patient balance refunds and rebilling claims as needed to maintain manageable credit accounts receivable and to ensure accurate submission of claims and patient statements.
• This position reports directly to the Supervisor Payment Posting.

Qualifications

• High school diploma or Associate's degree in Accounting or Business Administration.
• At least two (2) years of experience and relevant knowledge of revenue cycle functions and systems within a hospital or clinic environment, a health insurance company, managed care organization or other health care financial service setting.
• Some knowledge of health insurance and governmental programs, regulations, and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts and coordination of benefits) is highly desired.
• Experience in a complex, multi-site environment preferred.
• Proficient in Microsoft Office, including Outlook, Word, PowerPoint, and Excel.
• Excellent written and verbal communication skills and organizational abilities.
• Strong interpersonal skills in interacting with internal and external customers.
• Strong accuracy, attention to detail and time management skills.
• Completion of regulatory/mandatory certifications and skills validation competencies preferred.
• Must be comfortable operating in a collaborative, shared leadership environment.
• Must possess a personal presence characterized by honesty, integrity, and caring with the ability to inspire and motivate others.

Requirements

• This position operates in a typical office environment.
• The area is well lit, temperature controlled and free from hazards.
• Incumbent communicates frequently, in person and over the phone, with people in all locations on product support issues.
• Manual dexterity is needed in order to operate a keyboard.
• Hearing is needed for extensive telephone and in-person communication.
• The environment requires the ability to concentrate, meet deadlines, work on several projects simultaneously, and adapt to interruptions.
• Must be able to set and organize own work priorities and adapt to them as they change frequently.
• Must be able to work concurrently on a variety of tasks/projects in a potentially stressful environment with individuals having diverse personalities and work styles.
• Must possess the ability to comply with Trinity Health policies and procedures.

Benefits

• Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.
• By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.
• We are an Equal Opportunity Employer.
• All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.