Patient Accounts Representative

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $15 - $23 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 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. • Navigate computer applications and payer websites to determine account actions. • Document clear and concise notes regarding claim status and account actions. • Meet daily productivity goals while maintaining 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. • Update plan IDs and patient or payor demographic/insurance information. • Identify payor issues and trends and resolve recoupment issues. • Request patient, medical record and other documentation from payors. • Review contracts, identify billing or coding issues, and request rebills, secondary billing or corrected bills. • Resolve accounts or open dispute records for further research and continued collection. • Maintain current desk inventory without backlog. • Perform special projects and document and communicate findings. • Recognize payer 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 terms 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. • 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.