Credit Resolution Representative Jobs (NOW HIRING)

NE, United States

At Children’s Nebraska, our mission is to improve the life of every child through exceptional care, advocacy, research and education. As the state’s only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and families—from primary and specialty care to behavioral health services and everything in between. Dedicated to a People First culture, we foster an environment with joy, belonging, wellbeing, learning and growth. Turn your passion into purpose and make a difference where it matters most.

The Supervisor, Payment Posting & Credit Resolution, plays a key leadership role managing payment posting, cash reconciliation, and refund and credit resolution functions. This role ensures optimal revenue cycle performance through accurate payment processing, regulatory compliance, and strong operational oversight. The supervisor serves as a liaison across departments, collaborates with IT and Finance, and monitors team performance to achieve operational excellence in alignment with organizational goals.

• Leadership and Team Management
  • Supervise and provide leadership to your team members, including mentoring and coaching to foster professional growth and high performance.
  • Assists in outcomes management by holding self and others accountable to meet stated outcomes, objectives, goals, timetables and commitments, adhering to outcomes even in the face of unforeseen circumstances.
  • Prioritizes and coordinates daily work activities. Provides leadership and guidance by sharing expertise with others. Approves schedules and monitors time worked.
  • Conducts employee performance management duties including completion and delivery of performance evaluations, setting goals, dissemination of information, coaching, addressing performance issues/routine correction actions, and recommending termination of employment.
  • Submits notifications for personnel actions (e.g. status changes, termination, etc.)
  • Participates in selection, hiring, and salary recommendations
  • Coordinate onboarding and training for new hires, ensuring they are well-prepared for their roles.
  • Support and execute ongoing communications to keep the team updated on system changes, policies, and best practices.
  • Act as mentor and resource for team members, providing guidance on technical or procedural challenges
  • Effectively manages workload with accuracy and attention to detail per requirements outline in departmental policy.
• Operational Management and Excellence
  • Ensure timely and accurate payment posting aligned with internal contracts and regulatory guidelines.
  • Oversee payment follow-up activities to support the revenue cycle, ensuring compliance with federal and state regulations.
  • Ensure payments are received electronically and post automatically whenever possible by enrolling for ERA and EFTs.
  • Approve and audit refund and adjustment requests, ensuring appropriate resolution prior to processing.
  • Collaborate with Finance to ensure all deposits are posted accurately and all systems are reconciled daily.
  • Monitor credit inventory and ensure resolution of credits within established regulatory timeframes.
  • Review internal adjustments and patient refunds that alter A/R status; investigate root causes of discrepancies and provide staff feedback.
  • Monitor staff workloads using ad hoc and system-generated reports; assess trends and ensure assignments are resolved timely and effectively.
  • Coordinate resolution and escalation of payment issues or discrepancies in collaboration with payer reps, internal departments, and vendors.
  • Stay informed of CMS, Medicaid, HIPAA, and payer regulations affecting payment posting and reimbursement.
  • Maintain active EHR certifications and participate in professional organizations (e.g., HFMA).
  • Promote ongoing professional growth and regulatory awareness among staff.
• System Integration, Compliance & Testing
  • Lead the implementation and testing of regulatory requirements affecting payment processing.
  • Ensure compliance with the most current X12 HIPAA transactions including the 835 Health Care Claim Payment/Advice Transaction Set, using HIPAA-compliant ANSI-standard codes.
  • Partner with Information Services (IS) to troubleshoot and resolve system issues; implement process improvements.
  • Review and test system builds, upgrades, and Epic changes that impact payment posting, cash processing, and refund workflows.
  • Ensure internal controls and technology solutions support timely and accurate payment processing across all remittance and reconciliation sources.

• Bachelor's Degree from an accredited college or university in Healthcare Administration, Business, Finance, or related field Required and
• Equivalent relevant work experience may be substituted for education Required

• Minimum 5 years’ experience in healthcare revenue cycle, with a focus on payment posting, credit balance resolution and A/R management Required
• 1 year of lead or supervisory experience Preferred

• In-depth knowledge of Revenue Cycle Operations including third-party reimbursement, payer relations, claims adjudication, contractual claims processes, and general reimbursement procedures.
• Working knowledge of state and federal healthcare regulations, including CMS, Medicaid, HIPAA, Fair Debt Collection practices, and insurance-related laws.
• Familiarity with EDI 835 remittance advice processing and ANSI-standard Claim Adjustment Reason Codes and Remittance Advice Remark Codes.
• Effective leadership capabilities including planning, problem-solving, team development, and staff motivation.
• Excellent analytical skills for data interpretation, workflow analysis, and complex problem-solving.
• Capable of logically organizing details to support decision-making and continuous process improvement.
• Strong verbal and written communication skills that foster trust, credibility, and understanding.
• Proficiency in Microsoft Office applications including Word, Excel, and PowerPoint

Children’s is an equal opportunity employer, embracing and valuing the unique strengths and differences of people. We cultivate an inclusive environment of respect and trust where we all belong. We do not discriminate based on race, ethnicity, age, gender identity, religion, disability, veteran status, or any other protected characteristic.

• Job Identification 24550
• Job Category Finance
• Job Schedule Full time
• Locations 8404 Indian Hills Drive, Omaha, NE, 68114, US