Medical Collections Representative
Tenet Healthcare
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $16 - $24 per hour
Job Level
Junior
About the role
- The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
- Effectively follow-up on claim submission, remittance review for insurance collections.
- Create and pursue disputed balances from both government and non-government entities.
- Perform duties as assigned in a professional demeanor including interacting with insurance plans, patients, physicians, attorneys, and team members as needed.
- Researches each account using company patient accounting applications and internet resources.
- Conduct appropriate account activity on uncollected account balances by contacting third party payors and/or patients.
- Problem solve issues and create resolution that will bring in revenue eliminating re-work.
- 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 work-flow inconsistencies or any other insurance collection opportunities.
Requirements
- 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
- 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.
Benefits
- Medical, dental, vision, disability, and life insurance
- Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
- 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
- For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
medical claims experiencehospital collections experiencerevenue cycle processMicrosoft OfficeACEVI WebIMaCSOnDemandEOB understandinghospital billing form requirements
Soft skills
communication skillsoral skillswritten skillsinterpersonal skillsanalytical skillscritical thinking skillsdecision makingproblem solvingprioritizationfollow-through
Certifications
High School diplomabusiness administration courseworkaccounting coursework