Patient Account I – Credit Control Representative II

Job Title: Patient Account I – Credit Control Representative II
Location: Broomfield, CO 80021 (Fully Remote)
Contract Length: 3 Months+ (Possible Extension)

Pay: $22/hr. on W2
Shift: Day Shift (5 days x 8 hrs.) Mon to Fri
 
Job Summary:
The Patient Account I – Credit Control Representative II is responsible for reviewing patient account payments, resolving credit balances, and ensuring accurate payment posting within the revenue cycle process. This role supports claims resolution, payment verification, and denial management while maintaining compliance with payer and organizational standards.
 
Job Duties:

• Review patient accounts to verify payments, overpayments, and process appropriate adjustments or refunds.
• Resolve undistributed payments and credit balance accounts from assigned work queues.
• Research claim lifecycle issues to identify payment discrepancies and correct posting errors.
• Review EOBs and payer remittances to ensure accurate insurance processing and payment application.
• Document all account activities and maintain accurate electronic patient records.
• Perform payment analysis, GAP analysis, and identify trends impacting reimbursement outcomes.

 
Requirements:

• 3+ years of hospital or physician billing experience, including claims follow-up.
• Experience handling insurance denials, appeals, and payment posting.
• Minimum 1 year of medical revenue cycle experience or cash handling experience in a business environment.
• Understanding of the full healthcare revenue cycle, including charge entry through payment posting.
• Knowledge of medical billing, insurance processes, compliance regulations, and medical terminology.
• Experience reviewing insurance remittances and resolving invoicing or payment issues.
• Strong computer skills with proficiency in MS Word and Excel.