Patient Account Representative

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $15 - $23 / hour

⏰ Full 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 accounts to ensure they are resolved in a timely manner • Follow up on claim submission 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 • Document clear and concise notes regarding claim status and actions taken • Maintain daily productivity goals while meeting quality standards • Identify and communicate system access, payer behavior, workflow, and insurance collection issues • Provide support for 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 • Resolve issues, update plan IDs, adjust patient or payor demographic and insurance information, and identify payor trends • Request information and documentation from patients, medical records, and other sources • Review contracts and identify billing or coding issues; request rebills, secondary billing, or corrected bills • Take timely action to resolve accounts or open dispute records for further research • Maintain desk inventory without backlog while achieving productivity and quality standards • Perform special projects and other assigned duties • Recognize payor delays and trends, take corrective action, and escalate 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

🎯 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 • Has a 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 • Familiar with HMO, PPO, IPA and Capitation and how these payors process claims • 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 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 • Some college coursework in business administration or accounting preferred • 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, 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 • Competitive benefits package • Leadership to take your career to the next step

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