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Conifer Health Solutions · 1 day ago

Credit Resolution Representative - Remote

United States

Full-time

Remote

Entry Level

$17.20/hr - $25.70/hr

1+ years exp

Conifer Health Solutions is a company with over 30 years of expertise in the healthcare industry, serving clients across more than 135 regions nationwide. They are seeking a Credit Resolution Representative responsible for performing refunds and credit analyses functions within the Hospital Revenue Cycle Management team, ensuring appropriate actions are taken to resolve credit balances for patient accounts.

Health Care

H1B Sponsor Likely

Responsibilities

Performs 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

Determines if credit balance is an over contractual, late charges applied, overpayment etc. to ensure appropriate actions are taken to resolve

Performs Quarterly reviews for Medicare and Medicaid (based on state guidelines) and submits to client for approval, signature and submission

Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory Accurately and thoroughly documents 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

Respond timely to emails and telephone messages as appropriate

Participate and attend meetings, training seminars and in-services to develop job knowledge

Other duties as assigned by Management

Qualification

Hospital billing knowledgeICD-10 codingContract interpretationManaged Care understandingMedical terminologyAnalytical skillsWriting skillsCommunication skills

Required

Entry level understanding of hospital billing form requirements (UB04 and HCFA 1500)

Entry level knowledge of ICD-10, HCPCS/CPT coding and medical terminology

Entry level writing skills

Understanding and interpretation of Managed Care contracts

Understanding of Gov't Medicare and multiple state Medicaid programs payor regulations (if Gov't team)

High School Diploma or equivalent experience

1 – 3 years' experience in a hospital business environment performing billing and/or follow-up functions

Ability to sit and work at a computer terminal for extended periods of time

Preferred

Entry level knowledge of ACE/PBAR/STAR/Meditech or EPIC

Contract Interpretation skills greatly preferred

Benefits

Medical, dental, vision, disability, and life insurance

Paid 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 match

10 paid holidays per year

Health savings accounts, healthcare & dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary 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

Conifer Health Solutions

Glassdoor2.8

Conifer Health Solutions is a healthcare services company helping organizations strengthen their financial performance

Founded in 2008

Frisco, Texas, USA

10001+ employees

http://coniferhealth.com/

H1B Sponsorship

Conifer Health Solutions has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2025 (5)

2024 (3)