Vacancy expired!
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!JOB SUMMARYResponsible for providing assistance, coaching and training to
staff members, including new hires. They
support and assist the Team, the Supervisor and Management with complex
inventory and issue resolution.
Responsible for all aspects of the billing, follow up and collection
activity for payers that are Supplemental to Medicare. May maintain a large dollar inventory desk or
complex accounts as well as serve as just-in-time staffing, working inventory
for team members that may be absent or backlogged. May assist in special projects as assigned my
management, including acting as a point of contact for internal operational
questions.ESSENTIAL DUTIES AND RESPONSIBILITIES includethe following. Other duties may be assigned .
Responsible for allaspects of insurance follow up and collections, including making telephonecalls, accessing payer websites. Maymaintain a large dollar inventory desk as well as serve as just-in-timestaffing, working inventory for team members that may be absent orbacklogged. Effectively resolve complexor aged inventory, including payment research, payment recoups with minimal orno assistance necessary. Accurately andthoroughly document the pertinent collection activity performed. Review the accountinformation and necessary system applications to determine the next appropriatework activity. Verify claimsadjudication utilizing appropriate resources and applications. Initiatetelephone or letter contact to patients to obtain additional information asneeded. Perform appropriate billingfunctions, including manual re-bills as well as electronic submission topayers. Edit claims to meet and satisfybilling compliance guidelines for electronic submission. Manage and maintain desk inventory, completereports, and resolve high priority and aged inventory. Proactively identify issues or trending andprovide suggestions for resolution.
Provide assistance,coaching and training to staff members, including new hires. Provide enhanced training and assist staffwith techniques to increase production, quality and collections. Participate in the new hire peer interviewingprocess. Assist in special projectsassigned by management.
Participate and attend meetings, training seminars and in-services todevelop job knowledge. Attend variousconference calls, webinars or advanced training to provide assistance to theteam members. Respond timely to emailsand telephone messages from the staff, management and the client. Effectively communicate issues to management,including payer, system or escalated account issues as well as developsolutions.
KNOWLEDGE,SKILLS, ABILITIESTo perform this job successfully, an individual must be ableto perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skilland/or ability required. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Verygood written and verbal communication skills
Stronginterpersonal skills
Advancedtechnical skills including PC and MS Outlook
Advancedknowledge of UB-04 and Explanation of Benefits (EOB) interpretation
Advancedknowledge of CPT and ICD-9 codes
Advancedknowledge of insurance billing, collections and insurance terminology
EDUCATION /EXPERIENCEInclude minimum education, technical training, and/orexperience preferred to perform the job.
Highschool diploma or equivalent education
3-6years of experience in Medical/Hospital Insurance related collections
WORK ENVIRONMENTThe work environment characteristics described here arerepresentative of those an employee encounters while performing the essentialfunctions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Office/TeamWork Environment
Job: Conifer Health SolutionsOrganization:Title: Patient Account Lead Representative-RemoteLocation: TX-FriscoRequisition ID: 2005006835
Vacancy expired!