Hospital Account Collections Representative

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🕒 May 16

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Tenet Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

👥 B2C

💰 $2G Post IPO debt on 2022-07

Healthcare • B2C

Tenet Healthcare is a for-profit healthcare services company that owns and/or operates hospitals and hospital programs through subsidiaries and affiliates across the United States. The company's website and materials describe acute-care hospitals, emergency centers, specialty services (including cancer centers and advanced cardiac imaging), medical office buildings, physician careers and community health networks; Tenet emphasizes compliance, community service, and clinical innovation.

📋 Description

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. • Follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. • Researches each account using company patient accounting applications and internet resources that are made available. • Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. • Problem solves issues and creates resolution that will bring in revenue eliminating re-work. • Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. • Requests additional information from patients, medical records, and other needed documentation upon request from payors. • Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. • Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. • Maintains desk inventory to remain current without backlog while achieving productivity and quality standards.

🎯 Requirements

• 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.

🏖️ Benefits

• 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.