Credit Resolution Representative, I - PFS

Trinity Health

. Process credit account balances from patients and insurers within Hospital and/or Medical Group revenue operations .

Posted 10/2/2026full-timeFarmington Hills • Michigan • United StatesJuniorMid-Level💰 $17 - $26 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in revenue cycle management, including credit account processing, medical claims processing, and compliance with healthcare regulations. Proficient in financial reconciliation and customer service within a healthcare setting.

Highest-signal resume keywords

Revenue Cycle ManagementMedical Claims ProcessingHealth Insurance KnowledgeMicrosoft Office ProficiencyAttention to Detail

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Credit Account ProcessingFinancial CounselingAccount AdjustmentsPayment PostingCash Reconciliation

Soft Skills

Excellent Communication SkillsStrong Interpersonal SkillsOrganizational AbilitiesTime Management Skills

Tools & Technologies

Microsoft OutlookMicrosoft WordMicrosoft PowerPointMicrosoft Excel

Certifications & Qualifications

Regulatory Certifications

Industry Keywords

Revenue Cycle FunctionsMedicareMedicaidManaged Care ContractsHealthcare Financial Services

About the role

Key responsibilities & impact

Process credit account balances from patients and insurers within Hospital and/or Medical Group revenue operations
Reduce patient balance accounts receivable credits and coordinate with customer service to communicate with patients regarding overpayments
Determine root causes of credit balances and take appropriate steps to fully adjudicate accounts
Post patient balance refunds and rebill claims as needed
Review, monitor, and follow up on patient credit accounts receivable as part of the revenue cycle process
Document corrections, discrepancies, outstanding items, exceptions, rejections, and follow-up activities in appropriate systems
Track payment activity and findings for the Supervisor
Perform account adjustments or write-offs in accordance with the Write-off Policy
Research credit balances caused by payment posting and prepare appropriate documentation
Serve as backup to Payment Posting Representatives
Prepare refund checks to patients and enter data into the appropriate system
Promote accurate cash posting and reconciliation
Post incoming payments proactively and timely
Submit, track, trend, and report cash-posting-related processes to key stakeholders
Maintain knowledge of applicable laws, regulations, Trinity Health's Integrity and Compliance Program, Code of Conduct, policies, and procedures

Requirements

What you’ll need

High school diploma or Associate's degree in Accounting or Business Administration with 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, performing medical claims processing, financial counseling, financial clearance, accounting, or customer service activities, or an equivalent combination of education and experience
Knowledge of health insurance and governmental programs, regulations, and billing processes, including Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, managed care contracts and coordination of benefits 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
Comfortable operating in a collaborative, shared leadership environment
Personal presence characterized by honesty, integrity, and caring, with the ability to promote Trinity Health's philosophy, mission, vision, goals, and values
Must be able to comply with Trinity Health policies and procedures
Ability to operate a keyboard and communicate extensively by telephone and in person
Ability to concentrate, meet deadlines, work on several projects simultaneously, adapt to interruptions, organize work priorities, adapt to frequent changes, and work concurrently on varied tasks/projects in a potentially stressful environment