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Credit Resolution Representative - Louisville, KY

Company Name:
Tenet
Title: Credit Resolution Representative - Louisville, KY
Location: KY-Louisville
Other Locations:
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through ourrevenue cycle management,patient communications, andvalue-based caresolutions, we empower healthcare decision makers--hospitals, health systems, physicians, self-insured employers, and payers--to better connect every point of care and wellness management. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Conifer Health Solutions is currently hiring for a Credit Resolution Representative.
JOB SUMMARY
Responsibilities include the compliant review and analysis of credit balance accounts to determine cause of credit balance and resolution of same. In addition, the Credit Resolution representative is responsible for thorough and accurate follow up and communication with facilities, management, Insurance companies and patients.
ESSENTIAL DUTIES AND RESPONSIBILITIESinclude the following. Other duties may be assigned.
Performs refund and credit analysis, audit and reimbursement functions for all patient credit balance accounts
Responsible for the review, preparation and submission of the Credit Balances Quarterly Report.
Responsible for follow up on credit balance accounts
Responds to patient inquiries and Insurance phone calls regarding account balances and refunds.
Handle correspondence received from payors requesting refunds
Reports on root causes of Credit Balances to management
Interacts with facilities to resolve accounts
Other duties as assigned by Management
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential understanding of Hospital Billing requirements (Universal Billing form)
Intermediate understanding of Medicare regulations preferred
Intermediate understanding of Microsoft Office
Intermediate to ability to handle large volume with excellent quality
Intermediate oral and written skills, required
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
HS Diploma or equivalent, required
AA degree, preferred
3-5 years in a Hospital Patient Financial Services department
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to sit and work at a computer terminal for long periods of time.

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