Tenet Healthcare Patient Account Representative in Frisco, Texas
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Responsible for all aspects of billing, follow up and collection activity.
ESSENTIAL DUTIES AND RESPONSIBILITIES include thefollowing. Other duties may be assigned.
Responsible for all aspects offollow up and collections, including making telephone calls, accessing payerwebsites. Identify issues or trendingand provide suggestions for resolution.Accurately and thoroughly documents the pertinent collection activityperformed. Review the accountinformation and necessary system applications to determine the next appropriatework activity. Verify claimsadjudication utilizing appropriate resources and applications. Initiate telephone or letter contact topatients to obtain additional information as needed. Perform appropriate billing functions,including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billingcompliance guidelines for electronic submission. Manage and maintain desk inventory, completereports, and resolve high priority and aged inventory.
Participate and attend meetings,training seminars and in-services to develop job knowledge. Participate in themonthly, quarterly and annual performance evaluation process with theirSupervisor. Respond timely to emails andtelephone messages as appropriate.Communicate issues to management, including payer, system or escalatedaccount issues.
To perform this job successfully, anindividual must be able to perform each essential duty satisfactorily. The requirements listed below arerepresentative of the knowledge, skill and/or ability required. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Good written and verbalcommunication skills
Intermediate technical skillsincluding PC and MS Outlook
Intermediate knowledge of UB-04 andExplanation of Benefits (EOB) interpretation
Intermediate knowledge of CPT andICD-9 codes
Intermediate knowledge of insurancecollections and insurance terminology
EDUCATION / EXPERIENCE
Include minimum education, technicaltraining, and/or experience preferred to perform the job.
High school diploma or equivalenteducation
0-4 years of experience inMedical/Hospital Insurance related collections
Job: Conifer Health Solutions
Title: Patient Account Representative
Requisition ID: 1805009805