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Patient Account Representative - Remote

Job ID: 2105024278 Date posted: 06/27/2021 Facility: Conifer Health Solutions
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Job Details

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • 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.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

  • 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

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Office/Team Work Environment
  • Ability to sit and work at a computer terminal for extended periods of time

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Call Center environment with multiple workstations in close proximity


Qualifications:

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Good written and verbal communication skills

  • Intermediate technical skills including PC and MS Outlook

  • Intermediate knowledge of UB-04 and Explanation of Benefits (EOB) interpretation

  • Intermediate knowledge of CPT and ICD-9 codes

  • Intermediate knowledge of insurance collections and insurance terminology

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.
  • High school diploma or equivalent education
  • 0-4 years of experience in Medical/Hospital Insurance related collections

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Office/Team Work Environment
Job: Collections
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

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