Patient Account Representative

🕒 6 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $15 - $23 / hora

⏰ Tempo Integral

🟢 Júnior

💰 Gerente de Contas

🚫👨‍🎓 Sem graduação necessária

👻 Score fantasma 0%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Tenet Healthcare

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

👥 B2C

💰 $2.000.000.000 Post IPO debt em 2022-07

Healthcare • B2C

A Tenet Healthcare é uma empresa com fins lucrativos que presta serviços de saúde e possui ou administra hospitais e programas hospitalares por meio de subsidiárias e empresas afiliadas nos Estados Unidos. O site e os materiais da empresa descrevem hospitais de atendimento agudo, centros de emergência, serviços especializados (incluindo centros de oncologia e exames avançados de imagem cardíaca), edifícios de consultórios médicos, oportunidades para médicos e redes de saúde comunitária. A Tenet destaca a conformidade, o compromisso com as comunidades e a inovação clínica.

Descrição

• Work patient accounts to ensure timely resolution • Follow up on claim submissions and review remittances for insurance collections • Create and pursue disputed balances from government and non-government entities • Interact with insurance plans, patients, physicians, attorneys, and team members • Navigate system applications and payer websites to determine account actions • Use job aids for Patient Accounting processes • Document claim status and account actions clearly in the patient accounting system • Maintain daily productivity and quality standards • Identify and communicate system access, payer behavior, workflow, and insurance collection issues • Support absent or backlogged team members • Research accounts using patient accounting applications and internet resources • Contact third-party payors and patients by phone, email, or online regarding uncollected balances • Update plan IDs and patient or payor demographic and insurance information • Identify payor issues and trends and resolve recoupment issues • Request information and documentation from patients and medical records • Review contracts, identify billing or coding issues, and request rebills, secondary billing, or corrected bills • Resolve accounts or open dispute records for further research and continued collection • Maintain current desk inventory without backlog • Perform special projects and document and communicate findings • Recognize payor delays and trends, respond to avoid accounts receivable aging, and escalate delayed or aged accounts to the Supervisor • Attend meetings, training seminars, and in-services • Respond timely to emails and telephone messages • Ensure compliance with state and federal laws and regulations for Managed Care and other third-party payors

🎯 Requisitos

• High School diploma or equivalent • 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 through Patient Financial Services procedures and policies • Intermediate skill in Microsoft Office (Word, Excel) • Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently • Clear and professional communication skills • Good oral and written skills • Strong interpersonal skills • Above average analytical and critical thinking skills • Ability to make sound decisions • Full understanding of Commercial, Managed Care, Medicare and Medicaid collections • Intermediate knowledge of Managed Care contracts, contract language, and federal and state requirements for government payors • Familiarity with HMO, PPO, IPA, and Capitation terms and claims processing • Intermediate understanding of EOB • Intermediate understanding of hospital billing form requirements (UB04) and familiarity with HCFA 1500 forms • Ability to problem solve, prioritize duties, and follow through completely with assigned tasks • Ability to obtain and provide confirmation of required vaccinations and screenings prior to employment, as applicable and permitted by law

🏖️ Benefícios

• Position may be eligible for a signing bonus for qualified new hires, subject to employment status • Conifer observed holidays receive time and a half • 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 • Remote work arrangement