Patient Account Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $15 - $23 / hour

⏱ Part Time

🟢 Junior

💰 Account Manager

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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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

• 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 • Use patient accounting applications, internet resources, and payer websites to research accounts • Contact third-party payors and/or patients by phone, email, or online regarding uncollected balances • Update plan IDs and patient or payor demographic/insurance information • Document claim status and account actions in the patient accounting system • Identify payor issues and trends, solve recoup issues, and request additional documentation • Review contracts and identify billing or coding issues; request re-bills, secondary billing, or corrected bills • Resolve accounts timely or open dispute records for further research • Maintain desk inventory without backlog while meeting productivity and quality standards • Identify payment delays and aged-account trends; escalate issues to the Supervisor • Support team members who are absent or backlogged • Perform special projects and other assigned duties • 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

🎯 Requirements

• 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; 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 terminology 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 • Required vaccinations and screenings, as applicable and permitted by law, prior to employment start

🏖️ Benefits

• 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 • 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, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act