Tenet Healthcare

Billing Account Representative

Tenet Healthcare

full-time

Posted on:

Origin:  • 🇺🇸 United States

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Salary

💰 $16 - $24 per hour

Job Level

Junior

About the role

  • Work accounts to ensure timely resolution throughout the revenue cycle from creation to payment
  • Follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances
  • Contact third party payors and/or patients via phone, e-mail, or online to resolve uncollected account balances
  • Update plan IDs, adjust patient or payor demographic/insurance information, notate account details, identify payor issues and trends
  • Request additional information from patients, medical records, and other documentation upon request from payors
  • Review contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
  • Open dispute records for further research and substantiation when necessary
  • Maintain desk inventory and meet productivity and quality standards
  • Perform special projects, attend meetings/training, and provide support for absent or backlogged team members
  • Ensure compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors
  • Document clear and concise notes in the patient accounting system
  • Respond timely to emails and telephone messages as appropriate

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.