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Tenet Healthcare Patient Account Senior Representative - Remote in Frisco, Texas

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. 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!

JOB SUMMARY

Responsible for all aspects of billing, follow up and collection activity. Billing responsibilities include manual re-bills as well as electronic submission to payers. Follow-up includes telephone calls to payers and/or patients, as well as accessing payer websites, and resolving complex accounts with minimal or no assistance necessary. Participate and attend meetings, training seminars and in-services to develop job knowledge. Respond timely to emails and telephone messages as appropriate. Identify, communicate and effectively work to resolve issues including payer, system or escalated account issues. Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged.

ESSENTIAL DUTIES ANDRESPONSIBILITIES includethe following. Other duties may be assigned.

  • Responsible for all aspects of insurancefollow up and collections, including making telephone calls, accessing payerwebsites and filing appeals. Effectivelyresolves complex or aged inventory, including payment research and payment recoupswith minimal or no assistance necessary.Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents thepertinent collection activity performed.Review the account information and necessary system applications todetermine the next appropriate work activity.Verify claims adjudication utilizing appropriate resources andapplications. Initiate telephone orletter contact to patients to obtain additional information as needed. Perform appropriate billing functions,including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billingcompliance guidelines for electronic submission. Manage and maintain desk inventory, completereports, and resolve high priority and aged inventory.

  • Participate and attend meetings,training seminars and in-services to develop job knowledge. Participate in themonthly, quarterly and annual performance evaluation process with theirSupervisor. Respond timely to emails andtelephone messages as appropriate.Identify and communicate issues to management, including payer, systemor escalated account issues as well as assist in the development ofsolutions. Assist with special projectsassigned by management as needed. Assistnew or existing staff with training or techniques to increase production andquality as well as provide A/R support for the team or team members that may beabsent or backlogged.

KNOWLEDGE, SKILLS,ABILITIES

To perform this jobsuccessfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below arerepresentative of the knowledge, skill and/or ability required. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.

  • Goodwritten and verbal communication skills

  • Intermediatetechnical skills including PC and MS Outlook

  • Advancedknowledge of UB-04 and Explanation of Benefits (EOB) interpretation

  • Intermediateknowledge of CPT and ICD-9 codes

  • Advancedknowledge of insurance billing, collections and insurance terminology

EDUCATION /EXPERIENCE

Include minimumeducation, technical training, and/or experience required to perform the job.

  • Highschool diploma or equivalent education

  • 2-5years of experience in Medical/Hospital Insurance related collections

WORK ENVIRONMENT

The work environmentcharacteristics described here are representative of those an employeeencounters while performing the essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.

  • Office/TeamWork Environment

Job: Conifer Health Solutions

Organization:

Title: Patient Account Senior Representative - Remote

Location: TX-Frisco

Requisition ID: 2005040202

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