Senior Patient Account Representative

🕒 il y a 1 mois

🇺🇸 États-Unis – Télétravail

💵 $17 - $25 / heure

⏰ Temps Plein

🟠 Senior

💰 Responsable de comptes

👻 Score fantôme 8%

Ce que ça veut dire : la probabilité que personne ne recrute vraiment pour cette offre.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Tenet Healthcare

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

👥 B2C

💰 €2 000 000 000 Post IPO debt en 2022-07

Healthcare • B2C

Tenet Healthcare est une entreprise privée de services de santé qui possède et/ou exploite des hôpitaux et des programmes hospitaliers par l’intermédiaire de filiales et de sociétés affiliées à travers les États-Unis. Le site web et les supports de l’entreprise présentent des hôpitaux de soins aigus, des services d’urgence, des services spécialisés (notamment des centres de cancérologie et des services d’imagerie cardiaque avancée), des immeubles de cabinets médicaux, des opportunités de carrière pour les médecins ainsi que des réseaux de santé communautaires. Tenet met l’accent sur la conformité, le service aux communautés et l’innovation clinique.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

• 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

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