Clinical Account Manager
Travere Therapeutics
Patient Account Representative
Tenet Healthcare
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $18 - $25 per hour
Job Level
Junior
About the role
- Work accounts to ensure they are resolved in a timely manner across the full life of a patient account from creation to payment
- Follow-up on claim submission, remittance review for insurance collections, and create and pursue disputed balances from government and non-government entities
- Contact third party payors and/or patients via phone, e-mail, or online to resolve outstanding balances
- Update plan IDs, adjust patient or payor demographic/insurance information, and notate accounts in detail
- Request additional information from patients, medical records, and other needed 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 accounts requiring further research and substantiation for continued collection
- Maintain desk inventory to remain current without backlog while achieving productivity and quality standards
- Identify and communicate system access issues, payor behavior, account workflow inconsistencies or other insurance collection opportunities
- Provide support for team members that may be absent or backlogged and participate in meetings and training
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
- 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
- Full understanding of 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
- Basic computer skills to navigate various system applications
- Ability to access payer websites and discern pertinent data to resolve accounts
- Document clear and concise notes in the patient accounting system regarding claim status and actions taken
- Conifer requires its 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
- 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
- Position may be eligible for a signing bonus for qualified new hires, subject to employment status
- Conifer observed holidays receive time and a half
- 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
clear communicationoral skillswritten skillsinterpersonal skillsanalytical skillscritical thinkingdecision makingteam supportproductivityquality standards
