Senior Patient Account Representative

🕒 Setembro 25

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $17 - $25 / hora

⏰ Tempo Integral

🟠 Sênior

💰 Gerente de Contas

👻 Score fantasma 1%

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

• Follow up on accounts receivable activity and resolve patient accounts timely • Follow up on claim submissions and review remittances for insurance collections • Create and pursue disputed balances with government and non-government entities • Conduct collection-related telephone calls with payors and patients • Navigate multiple computer systems and payer websites to determine account actions • Document claim status and account actions in the patient accounting system • Maintain daily productivity and quality standards while managing collectible account inventory • Research accounts and contact third-party payors or patients by phone, email, or online • Update plan IDs and patient or payor demographic and insurance information • Identify payor issues and trends and resolve recoupment issues • Request additional information and documentation from patients, medical records, and other sources • Review contracts, identify billing or coding issues, and request rebills, secondary billing, or corrected bills • Open dispute records and escalate delayed payments or aged accounts to the Supervisor • Compile data to resolve payer, system, or escalated account issues • Assist with special projects and communicate findings to leaders • Train or assist new and existing staff to improve production and quality • Provide coverage for absent or backlogged team members • Attend meetings, training seminars, and in-services

🎯 Requisitos

• High school diploma or equivalent education • 2-5 years experience in Medical/Hospital Insurance related collections • Minimum typing requirement of 45 wpm • Thorough understanding of the revenue cycle process from patient access through Patient Financial Services • Good written and verbal communication skills • Intermediate technical skills including PC and MS Outlook • 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 • Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation • Intermediate knowledge of CPT and ICD-9 codes • Advanced knowledge of insurance billing, collections, and insurance terminology • Ability to sit and work at a computer for extended periods • Must obtain and provide confirmation of required vaccinations and screenings, as applicable and permitted by law, before employment

🏖️ Benefícios

• Signing bonus may be available 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) – minimum of 12 days per year • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts • Healthcare and dependent flexible spending accounts • Employee Assistance program • Employee discount program • Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance • For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act • Competitive benefits package • Resources and incentives to support career development