Conifer Health Solutions
Patient Account Lead Representative - Remote
Conifer Health Solutions, Frisco, Texas, United States, 75034
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Patient Account Lead Representative - Remote
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Conifer Health Solutions
Job Summary Responsible for providing assistance, coaching and training to staff members, including new hires. They support and assist the Team, the Supervisor and Management with complex inventory and issue resolution. Responsible for all aspects of billing, follow up and collection activity for payers that are Supplemental to Medicare. May maintain a large dollar inventory desk or complex accounts as well as serve as just‑in‑time staffing, working inventory for team members that may be absent or backlogged. May assist in special projects as assigned by management, including acting as a point of contact for internal operational questions.
Essential Duties and Responsibilities
Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites. May maintain a large dollar inventory desk as well as serve as just‑in‑time staffing, working inventory for team members that may be absent or backlogged. Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re‑bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory. Proactively identify issues or trending and provide suggestions for resolution.
Provide assistance, coaching and training to staff members, including new hires. Provide enhanced training and assist staff with techniques to increase production, quality and collections. Participate in the new hire peer interviewing process. Assist in special projects assigned by management.
Participate and attend meetings, training seminars and in‑services to develop job knowledge. Attend various conference calls, webinars or advanced training to provide assistance to the team members. Respond timely to emails and telephone messages from the staff, management and the client. Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
Financial Responsibility $2.5 million R&D Budget
Knowledge, Skills, Abilities
Very good written and verbal communication skills
Strong interpersonal skills
Advanced technical skills including PC and MS Outlook
Advanced knowledge of UB‑04 and Explanation of Benefits (EOB) interpretation
Advanced knowledge of CPT and ICD‑9 codes
Advanced knowledge of insurance billing, collections and insurance terminology
Education / Experience
High school diploma or equivalent education
3‑6 years experience in Medical/Hospital Insurance related collections
Physical Demands Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Work Environment
Office/Teamwork Environment
Compensation
Pay: $20.51 – $30.77 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.
Benefits
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – minimum 12 days per year
401(k) 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
Employment Practices and E‑Verify Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E‑Verify program. E‑Verify: http://www.uscis.gov/e-verify. The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Patient Account Lead Representative - Remote
role at
Conifer Health Solutions
Job Summary Responsible for providing assistance, coaching and training to staff members, including new hires. They support and assist the Team, the Supervisor and Management with complex inventory and issue resolution. Responsible for all aspects of billing, follow up and collection activity for payers that are Supplemental to Medicare. May maintain a large dollar inventory desk or complex accounts as well as serve as just‑in‑time staffing, working inventory for team members that may be absent or backlogged. May assist in special projects as assigned by management, including acting as a point of contact for internal operational questions.
Essential Duties and Responsibilities
Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites. May maintain a large dollar inventory desk as well as serve as just‑in‑time staffing, working inventory for team members that may be absent or backlogged. Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re‑bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory. Proactively identify issues or trending and provide suggestions for resolution.
Provide assistance, coaching and training to staff members, including new hires. Provide enhanced training and assist staff with techniques to increase production, quality and collections. Participate in the new hire peer interviewing process. Assist in special projects assigned by management.
Participate and attend meetings, training seminars and in‑services to develop job knowledge. Attend various conference calls, webinars or advanced training to provide assistance to the team members. Respond timely to emails and telephone messages from the staff, management and the client. Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.
Financial Responsibility $2.5 million R&D Budget
Knowledge, Skills, Abilities
Very good written and verbal communication skills
Strong interpersonal skills
Advanced technical skills including PC and MS Outlook
Advanced knowledge of UB‑04 and Explanation of Benefits (EOB) interpretation
Advanced knowledge of CPT and ICD‑9 codes
Advanced knowledge of insurance billing, collections and insurance terminology
Education / Experience
High school diploma or equivalent education
3‑6 years experience in Medical/Hospital Insurance related collections
Physical Demands Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Work Environment
Office/Teamwork Environment
Compensation
Pay: $20.51 – $30.77 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.
Benefits
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) – minimum 12 days per year
401(k) 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
Employment Practices and E‑Verify Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E‑Verify program. E‑Verify: http://www.uscis.gov/e-verify. The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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