Senior Account Manager
ESA - Electronic Security Association
Patient Account 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
- Research accounts using company patient accounting applications and internet resources; conduct appropriate account activity on uncollected balances.
- Contact third party payors and/or patients via phone, e-mail, or online to resolve accounts; problem solve issues to bring in revenue and eliminate re-work.
- Update plan IDs, adjust patient or payor demographic/insurance information, and document detailed notes in the patient accounting system.
- Identify payor issues and trends, review contracts, request re-bills, secondary billing, or corrected bills as needed, and open dispute records when appropriate.
- Request additional information from patients, medical records, and other needed documentation upon request from payors.
- Maintain desk inventory and meet department daily productivity and quality standards.
- Perform special projects, document findings, and communicate results.
- Recognize payment delays and payor trends; escalate aged or problem accounts timely to Supervisor.
- Participate in meetings, training seminars and in-services; respond timely to emails and telephone messages.
- Ensure compliance with State and Federal Laws and Regulations for Managed Care and other Third Party Payors.
- Provide support for team members who may be absent or backlogged.
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 through Patient Financial Services
- Intermediate skill in Microsoft Office (Word, Excel)
- Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently
- Basic computer skills to navigate system applications and access payer websites
- Knowledge of Commercial, Managed Care, Medicare and Medicaid insurance; intermediate knowledge of Managed Care contracts and contract language
- 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 communicate in a clear and professional manner; good oral and written skills
- Strong interpersonal, analytical and critical thinking skills; ability to problem solve, prioritize duties and follow-through
- Conifer requires candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.
Benefits
- Pay: $15.80 - $23.70 per hour. Compensation depends on location, qualifications, and experience.
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
- Conifer observed holidays receive time and a half.
- 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 processtyping 45 wpmMicrosoft OfficeACEVI WebIMaCSOnDemandEOB
Soft skills
communication skillsinterpersonal skillsanalytical skillscritical thinking skillsproblem solvingprioritizationfollow-throughprofessional mannerteam supportproductivity
