Credit Resolution Specialist

Lonestar State College; Seattle (WA); Presencial; USD 29.000 - 48.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Descripción de la vacante

Lonestar State College is hiring a Revenue Cycle Credit Resolution Specialist to research and resolve patient and insurance credit balances, process refunds and transfers, and respond to inquiries from patients, payers, and internal teams.

The role requires strong account research skills, attention to detail, and knowledge of revenue cycle processes to determine appropriate resolutions based on payer requirements and account activity.

Formación

• High school diploma or equivalent required; additional education preferred.
• Healthcare revenue cycle, billing, accounts receivable, payment posting, or related financial experience preferred.
• Experience with patient and insurance account activity and reimbursement is preferred.
• Ability to research account activity and determine appropriate resolution.
• Understanding of healthcare billing, payer reimbursement, patient responsibility, adjustments, refunds, and credits.

Responsabilidades

• Research patient and insurance credit balances by reviewing payments and transactions.
• Process refunds using the Revenue Cycle system with accuracy and no duplicates.
• Review and complete credit transfers and reallocations.
• Identify credits requiring refund, correction, or further research.
• Monitor queues and reports, meeting turnaround times.

Conocimientos

Excel

Microsoft Office

Communication

Educación

High school diploma or equivalent

Herramientas

NextGen

AMKAI

SIS

Waystar

Phreesia

SharePoint

Descripción del empleo

Position Summary

The Revenue Cycle Credit Resolution Specialist is responsible for researching and resolving patient and insurance credit balances, processing refunds and transfers, and responding to refund-related inquiries from patients, payers, and internal teams. This role requires strong account research skills, attention to detail, and the ability to determine the appropriate resolution based on account activity, payer requirements, and established Revenue Cycle processes.

Schedule

Full-time Monday - Friday, start and end time are flexible.

Key Duties and Responsibilities

The key duties and responsibilities of the Credit Resolution Specialist include, but are not limited to:

• Research patient and insurance credit balances by reviewing payments, adjustments, claim activity, refunds, account notes, and transaction history.
• Process patient and insurance refunds using the appropriate payment method and Revenue Cycle system while ensuring accuracy and preventing duplicate refunds.
• Review and complete credit transfers, reallocations, overpayment requests, and other assigned credit-resolution work.
• Identify insurance credits requiring refund, claim correction, AR review, untimely credit adjustments, monitoring, or additional research.
• Review assigned reports, work queues, and SharePoint request folders daily and complete requests within established turnaround times.
• Maintain clear account documentation, status updates, and supporting information for completed and pending work.
• Escalate unclear accounts, system issues, or workflow concerns in a timely manner.
• Provide professional and accurate customer service to patients, insurance companies, and internal stakeholders regarding refund and credit-balance inquiries.

Education/Experience

• High school diploma or equivalent required; additional education preferred.
• Previous healthcare revenue cycle, billing, accounts receivable, payment posting, credit balance, refund, or related financial experience preferred.
• Experience working with patient and insurance account activity and healthcare reimbursement is preferred.
• Ability to research account activity, identify the cause of a credit balance, and determine the appropriate resolution.
• Understanding of healthcare billing, payer reimbursement, patient responsibility, adjustments, refunds, and credit balances.

Knowledge, Skills and Abilities

• Strong Excel and Microsoft Office skills.
• (Preferred) Experience with revenue cycle systems such as NextGen, AMKAI,SIS, Waystar, Phreesia, SharePoint, or similar systems preferred.
• Strong written and verbal communication, organization, and customer service skills.
• Ability to manage multiple assignments, meet established deadlines, document work accurately, and escrow concerns appropriately.
• Strong attention to detail with the ability to work independently while following established policies and procedures.

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

JobFamily

FINANCE

PayType

Hourly

EmploymentIndicator

Full Time

HiringMinRate

21.13

HiringMaxRate

35.92