Patient Account Representative
Tenet Healthcare
Patient Account Representative - Remote
Tenet Healthcare
full-time
Posted on:
Origin: • 🇺🇸 United States
Visit company websiteSalary
💰 $16 - $24 per hour
Job Level
Junior
About the role
- Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards.
- 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 in-services to develop job knowledge.
- Respond timely to emails and telephone messages as appropriate.
- Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors.
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
- Office/Team Work Environment
- Ability to sit and work at a computer terminal for extended periods of time
- Call Center environment with multiple workstations in close proximity
- 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.
