Senior Patient Account Representative

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $17 - $25 / hour

⏰ Full Time

🟠 Senior

💰 Account Manager

👻 Ghost score 0%

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Logo of Tenet Healthcare

Tenet Healthcare

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

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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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