Tenet Healthcare

Collections

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
• Follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.
• 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.

Hospital Account Collections Representative

Director

• Plan and coordinate a structured clerkship program with participating hospitals, including defining goals and expected learning outcomes, ensuring the program meets the evolving needs of medical education.
• Provide direction, leadership, and oversight of the clerkship program, ensuring its integration within our health systems and institutions.
• Manage the budgeting and resource allocation for clerkship-related activities, including faculty compensation, clerkship materials, and educational resources.
• Develop, implement, and continuously improve the curriculum for medical student clerkships across various specialties (e.g., internal medicine, surgery, pediatrics, psychiatry). Ensure that educational objectives align with institutional and accreditation standards.
• Drives recruitment strategies to our GME programs through UME rotations and experiences.
• Ensure the clinical learning environment complies with LCME (Liaison Committee on Medical Education) standards.
• Oversee the collection and analysis of data related to student performance, feedback, and overall program effectiveness. Prepare reports for stakeholders, including accreditation bodies and academic leaders.
• Develop and implement the overall strategy for CME programming aligned with organizational goals.
• Ensure CME activities meet the standards of the Accreditation Council for Continuing Medical Education (ACCME) or relevant accrediting bodies.
• Oversee funding sources, including grants, sponsorships, and participant fees, in alignment with ACCME Standards for Commercial Support.
• Collaborate with executive leadership, clinical departments, and academic partners to identify educational needs and priorities.
• Maintain accreditation status and ensure compliance with all applicable regulations (e.g., ACCME, state boards).
• Develop and execute the national strategic vision for clinical research across all hospitals, outpatient centers, and affiliated physician groups.

Director – Academic Affairs

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
• 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, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
• Research each account using company patient accounting applications and internet resources that are made available.
• Conduct appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online.

Hospital Patient Account Collections Representative

Auditor

• Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.
• Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.
• Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures.
• IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-9-CM codes for diagnoses and procedures.
• Coding: Uses discretion and specialized coding training to accurately assign ICD-9, CPT-4 codes to patient medical records.
• Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures.
• CDI: Identifies and communicates documentation improvement opportunities and coding issues to appropriate personnel for follow-up and resolution.
• Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and CPT coding.

Coding Quality Auditor

Medical Billing and Coding

• Code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation
• Utilize multiple resources to support code assignment
• Resolve coding denials and pre-bill coding edits
• Maintain productivity and accuracy standards via internal audits
• Assignment of codes from documentation
• Review and appropriately resolve pre-bill edits
• Effectively present coding issues to team members and clients
• Complete assignments before monthly closing dates
• Locate and apply applicable coding rules and client specific guidelines
• Other duties as assigned

Physician Services Coding Specialist II – Radiology

Manager

• Oversees a team of analysts and Supervisors that prepares standard and adhoc reports, interprets data and presents key trends and important findings allowing the product line leaders to turn them into actionable insights and improved performance.
• Serves as the interface between Analytics and Product Line leaders.
• Directly involved with action planning for improvement of employee engagement survey scores, team communication, and employee development.
• Oversees the analysis and reporting function for several product lines of a healthcare business office. Gathers business requirements from clients, translates them into technical and business strategy for team, directs strategy for analytical requests to provide solutions for clients, and communicates with leadership across product lines to ensure strategy alignment.
• Performs Ad Hoc reporting with high complexity and leads projects across multiple product lines.
• Proactively works with team to create efficiencies in data retrieval and analysis, improves the quality of information and data integrity, and ensures proper documentation of all reports.
• Provides leadership to analytics team consisting of 5 – 20 staff members, ensuring strategy, system knowledge and other important communication is shared to aid the completion of department tasks. Proactively provides coaching and guidance to team members and clients
• Leads not only within Analytics but within Conifer. Accepts responsibilities outside of normal department functions where there is a need.

Manager, Business Insights

Medical writer

• Responsible for reviewing medical records to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, by improving the quality of the physicians’ clinical documentation.
• Educates members of the patient care team regarding documentation guidelines, including the following: attending physicians, allied health practitioners, nursing, and case management.
• Completes initial medical records reviews of patient records within 24-48 hours of admission for a specified patient population to: (a) evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate MS-DRG assignment, risk of mortality and severity of illness; and (b) record in business partner designated CDI tool and/or host medical record system.
• Conducts follow-up reviews of patients every 24-48 hours or as needed up through discharge to support assigned working MS-DRG assignment upon patient discharge, as necessary.
• Formulate physician queries regarding missing, unclear, or conflicting health record documentation by requesting and obtaining additional documentation within the health record, as necessary.
• Communicates/Completes Clinical Documentation Integrity (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up, provider education and DRG Miss-Match reconciliation.

ICU Clinical Documentation Registered Nurse, RN

Procurement

• Own end-to-end procurement execution across a multi-site market, ensuring delivery against defined financial, operational, and timeline targets.
• Translate enterprise initiatives into repeatable, field-executable processes that scale efficiently across 50 to 100 facilities.
• Lead market-level procurement / supply chain performance improvement initiatives, including utilization optimization, purchased services, and capital allocation efficiency.
• Partner with MCFOs and MCSOs to align procurement strategies with EBITDA targets and service line growth priorities.
• Ensure facility-level adherence to Tenet / USPI procurement standards, including GPO compliance, contract / preferred vendor alignment, and capital approval guardrails.
• Drive adoption of standardized supply and capital templates by service line to enable consistency, speed, and pricing integrity across facilities.
• Utilize established enterprise scorecard metrics to drive actions, enforce accountability, and prioritize interventions.
• Lead regular market and facility-level materials management performance reviews with facility and market leadership, translating data into clear actions and measurable outcomes.
• Foster a culture of continuous performance and process improvement, ensuring sustained gains and operational discipline across the market.
• Ensure seamless onboarding and integration of new facilities into USPI procurement systems, contracts, and operating standards.

Director, Procurement – MidAmerica US Territory

• Own end-to-end procurement execution across a multi-site market, ensuring delivery against defined financial, operational, and timeline targets.
• Translate enterprise initiatives into repeatable, field-executable processes that scale efficiently across 50 to 100 facilities.
• Lead market-level procurement / supply chain performance improvement initiatives, including utilization optimization, purchased services, and capital allocation efficiency.
• Partner with MCFOs and MCSOs to align procurement strategies with EBITDA targets and service line growth priorities.
• Ensure facility-level adherence to Tenet / USPI procurement standards, including GPO compliance, contract / preferred vendor alignment, and capital approval guardrails.
• Drive adoption of standardized supply and capital templates by service line to enable consistency, speed, and pricing integrity across facilities.
• Utilize established enterprise scorecard metrics (e.g., GPO compliance, inventory on hand, EDI utilization, accrual performance, usage module adoption) to drive actions, enforce accountability, and prioritize interventions.
• Lead regular market and facility-level materials management performance reviews with facility and market leadership, translating data into clear actions and measurable outcomes.

Director, Procurement – Western US Territory

Recruitment

• Leads the execution of the strategy for the specific market or service lines this individual is directly responsible for.
• Ensures direct reports adhere to company service level agreements and industry best practices around process performance and timeliness, posting practices, candidate experience and manager and facility leadership relationships.
• Has direct supervisory responsibility for a subset of the larger Group recruitment team. This includes performance management, annual evaluations, training, and support.
• Assists recruiters and managers in issue resolution for process, technology, candidate flow or other issues as they may arise.
• Takes a leadership stance for the entire Group team and can act as short-term coverage for the Group manager when out.
• Provide reports and other actionable information to facility leadership that drives recruiting results.
• Coordinates recruitment efforts for assigned facilities and/or service line vacancies to attract qualified candidates to fill openings within an appropriate timeframe.
• Maintains Applicant Tracking System and postings to ensure SEO and JD attract qualified applicants.
• Maintains ongoing communication with Department Managers and Directors to ensure accuracy of open positions and alignment with Contract Labor and Overtime.
• Works with managers to develop unit specific recruitment and workforce planning solutions. Consults with hiring managers to ensure that fairness in hiring is accomplished through management practices and final selection decisions.
• Rounding in facilities using Intake guides and Service Level Agreements to understand the unique culture and fit necessary to staff units.
• Develops strategy to include media recommendations, niche sites and conferences to develop pipeline.
• Reviews and screens applications including internal transfers for min qualifications, salary discovery and cultural fit.
• Calculates salary, presents and negotiates offers.
• Closes job requisition in compliance with departmental policy, informing unsuccessful candidates of their status.
• Partner with HR meetings in order to identify obstacles, process improvements and promote positive communication within the team.
• Train and Develop New Recruiters and Coordinators.
• Lead in advertising & marketing, as well as job fairs and hiring events for the market.
• Onsite visits as required.
• Other projects as assigned.

Recruitment Supervisor

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
• Follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.
• Researches each account using company patient accounting applications and internet resources.
• Conduct 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.
• Performs special projects and other duties as needed.

Hospital AR Collections Representative

Account Manager

• The Supervisor is responsible for the supervision and leadership of the Patient Account Representatives, both on-site and telecommuters.
• Directly responsible for the interviewing, hiring, training, scheduling and monitoring of staff as well as all aspects of A/R Management and Performance Management.
• Attend meetings and respond timely to all requests, including completion of accounts referred to the Supervisory Desk.
• Identify performance deficiencies and opportunities and implement action plans as appropriate.
• Effectively maintain a work environment which promotes communication to stimulate the morale, engagement and growth of subordinates.
• Responsible for all aspects of the day-to-day supervision and leadership of Patient Account Representatives, including but not limited to the Performance Management metrics of collections, productivity, quality and aging.
• Interview candidates and make hiring recommendations and decisions.
• Complete monthly quality evaluations.
• Monitor staff scheduling and adherence to time and attendance protocol.
• Responsible for all aspects of A/R Management, including but not limited to maintaining workload balance, ensuring maximum efficiency, eliminating rework, and reducing cost.
• Promptly identify issues and develop action plans to mitigate or resolve.
• Train, develop, motivate and assist subordinates in reaching new levels of skills, knowledge and attitude.
• Review and respond timely to requests, including emails, telephone calls, issues, account research and resolution as needed by staff, management and clients.
• Effective communication and interaction with subordinates, management and clients.

Patient Account Supervisor

Customer Support

• Answer inbound customer service calls and make some outbound follow up calls in a professional, service-oriented manner. Answer the calls timely without drops/abandons.
• Ascertain the reason for the call and assist the caller with their questions, concerns or problems with the focus on first call resolution. Facilitate resolution by referring the matter to the issue/content expert. Escalate the matter to a supervisor, request the appropriate information or take appropriate action so that the issue expert is able to effectively resolve the matter.
• Other duties as assigned.

Customer Service Representative

• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner.
• This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment.
• 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, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed.
• Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions.
• Access payer websites and discern pertinent data to resolve accounts.
• Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account.
• 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.
• Provide support for team members that may be absent or backlogged.

Patient Account Representative

Human Resources

• The Human Resources Director (HRD) is responsible for strategic workforce planning, as well as the day-to-day HR Operations.
• The HRD proactively works with leadership to drive organizational performance objections for growth, experience excellence, quality, and integrity.
• Partner with the Market Presidents, Regional Vice Presidents, Administrators and Business Office Managers to ensure alignment (where appropriate) with policies and salary administration.
• Must be able to travel up to 50% within the market. Selected candidate will be required to pass a Motor Vehicle Records check.