Patient Account Representative - Birmingham, United States - Conifer Revenue Cycle Solutions

Conifer Revenue Cycle Solutions
Conifer Revenue Cycle Solutions
Verified Company
Birmingham, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

JOB SUMMARY


Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account.


Team member should possess the following:

  • Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
  • Access payer websites and discern pertinent data to resolve accounts
  • Utilize all available job aids provided for appropriateness in Patient Accounting processes
  • Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account
  • Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership
  • Identify and communicate any issues including system access, payor behavior, account workflow inconsistencies or any other insurance collection opportunities
  • Provide support for team members that may be absent or backlogged

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Include the following. Others may be assigned._
  • Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results.
  • Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor.
  • Participate and attend meetings, training seminars and inservices to develop job knowledge.
  • Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors.

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 followthrough 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
  • 14 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


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
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