Tenet Healthcare Patient Account Representative - Lincoln, Nebraska in Lincoln, Nebraska

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management at http://coniferhealth.com/revenue-cycle.html , patient communication at http://coniferhealth.com/patient-communications.html s, and value-based care at http://coniferhealth.com/valuebasedcare.html solutions, we empower healthcare decision makers—hospitals, health systems, physicians, self-insured employers, and payers—to better connect every point of care and wellness management. 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!

Conifer Health Solutions is currently hiring for a Patient Account Representative

JOB SUMMARY

Responsible for all aspects of billing, follow up and collection activity

ESSENTIAL DUTIES ANDRESPONSIBILITIES include the following. Otherduties may be assigned .

  • Responsiblefor all aspects of follow up and collections, including making telephone calls,accessing payer websites.

  • Identifyissues or trending and provide suggestions for resolution.

  • Accurately and thoroughly documents thepertinent collection activity performed.

  • Review the account information and necessary system applications todetermine the next appropriate work activity.

  • Verify claims adjudication utilizing appropriate resources andapplications. Initiate telephone orletter contact to patients 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 seminarsand in-services to develop job knowledge.

  • Participate in the monthly, quarterlyand annual performance evaluation process with their Supervisor.

  • Respond timely to emails and telephonemessages as appropriate.

  • Communicateissues to management, including payer, system or escalated account issues.

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 writtenand 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 insuranceterminology

EDUCATION /EXPERIENCE

  • High school diploma or equivalent education

  • 0-4 years’ experience in Medical/Hospital Insurance related collections

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

MWW

Job: Conifer Health Solutions

Organization:

Title: Patient Account Representative - Lincoln, Nebraska

Location: NE-Lincoln

Requisition ID: 1705009696