Patient Account Representative

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Tenet Healthcare

SiteLinkedInTodas as Vagas

10.000+ funcionários

🧬 Biotecnologia

🧘 Bem-estar

💰 $2.000.000.000 Post-IPO Debt em 2022-05

Healthcare • Biotechnology • Wellness

Tenet Healthcare é uma empresa líder em serviços de saúde que possui e opera hospitais, centros ambulatoriais e outras instalações de saúde. Com foco em fornecer cuidados médicos de alta qualidade e acessíveis para comunidades em todo os Estados Unidos, a Tenet Healthcare está comprometida em melhorar os resultados dos pacientes e aprimorar a experiência de saúde. Eles também oferecem opções de tratamento inovadoras e investem em tecnologia de saúde para apoiar sua missão de oferecer cuidados excepcionais.

Descrição

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. • Effectively follow-up on claim submission, remittance review for insurance collections. • Create and pursue disputed balances from both government and non-government entities. • Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed. • Basic computer skills to navigate through the various system applications. • Access payer websites and discern pertinent data to resolve accounts. • Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account. • Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership. • Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities. • Provide support for team members that may be absent or backlogged. • Research each account using company patient accounting applications and internet resources. • Conduct appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. • Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results.

🎯 Requisitos

• High School diploma or equivalent. Some college coursework in business administration or accounting preferred • 1-4 years medical claims and/or hospital collections experience • Minimum typing requirement of 45 wpm • Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies • Intermediate skill in Microsoft Office (Word, Excel) • Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently • Ability to communicate in a clear and professional manner • Must have good oral and written skills • Strong interpersonal skills • Above average analytical and critical thinking skills • Ability to make sound decisions • Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors • Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims. • Intermediate understanding of EOB. • Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. • Ability to problem solve, prioritize duties and follow-through completely with assigned tasks.

🏖️ Benefícios

• Medical, dental, vision, disability, and life insurance • Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.