[Remote] Credit Resolution Representative - Remote

Note: The job is a remote job and is open to candidates in USA. Conifer Health Solutions is a healthcare company that specializes in revenue cycle management. They are seeking a Credit Resolution Representative to perform refund and credit analyses, manage desk inventory, and communicate with management regarding account issues.ResponsibilitiesPerforms refund and credit analyses, audit and reimbursement functions for all Managed Care, Commercial, Medicare, Medicaid, Self-pay and third party payors for all patient accountsDetermines if credit balance is an over contractual, late charges applied, overpayment etc. to ensure appropriate actions are taken to resolvePerforms Quarterly reviews for Medicare and Medicaid (based on state guidelines) and submits to client for approval, signature and submissionManage and maintain desk inventory, complete reports, and resolve high priority and aged inventory Accurately and thoroughly documents the pertinent credit balance review activity performedCommunicate issues to management, including payer, system or escalated account issuesHandle correspondence received from payers and patients requesting refundsRespond timely to emails and telephone messages as appropriateParticipate and attend meetings, training seminars and in-services to develop job knowledgeOther duties as assigned by ManagementSkillsEntry level understanding of hospital billing form requirements (UB04 and HCFA 1500)Entry level knowledge of ICD-10, HCPCS/CPT coding and medical terminologyEntry level writing skillsContract Interpretation skills greatly preferredUnderstanding and interpretation of Managed Care contractsUnderstanding of Gov't Medicare and multiple state Medicaid programs payor regulations (if Gov't team)Ability to sit and work at a computer terminal for extended periods of timeEntry level knowledge of ACE/PBAR/STAR/Meditech or EPIC preferredHigh School Diploma or equivalent experience, preferred1 – 3 years' experience in a hospital business environment performing billing and/or follow-up functions, preferredBenefitsMedical, dental, vision, disability, and life insurancePaid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.401k with up to 6% employer match10 paid holidays per yearHealth savings accounts, healthcare & dependent flexible spending accountsEmployee Assistance program, Employee discount programVoluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.Company OverviewConifer Health Solutions is a healthcare services company helping organizations strengthen their financial performance It was founded in 2008, and is headquartered in Frisco, Texas, USA, with a workforce of 10001+ employees. Its website is http://coniferhealth.com/.Company H1B SponsorshipConifer Health Solutions has a track record of offering H1B sponsorships, with 5 in 2025, 3 in 2024. Please note that this does not guarantee sponsorship for this specific role.



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