Patient Account Representative - Contract - Remote
Tenet Healthcare, Frisco, TX, United States
Job Summary
The Patient Account Representative is responsible for working patient accounts to ensure they are resolved in a timely manner. The role requires a solid understanding of the Revenue Cycle for the entire life of a patient account from creation to payment. Responsibilities include following up on claim submissions, reviewing remittances for insurance collections, and pursuing disputed balances from both government and non‑government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. The representative must work independently and collaboratively with management and the team to resolve accounts with minimal assistance, adapting to changing assignments while maintaining productivity and quality targets.
Essential Duties and Responsibilities
Research and resolve each account using patient accounting applications and internet resources, contacting third‑party payors and/or patients via phone, e‑mail, or online.
Update plan IDs, adjust patient or payor demographic/insurance information, document actions in detail, identify payor issues and trends, and undertake re‑collection actions.
Request additional information from patients, medical records, or other documentation as needed by payors.
Review contracts to identify billing or coding issues, request re‑bills, secondary billing, or corrected bills as required.
Take appropriate action to achieve account resolution or open a dispute record for further research.
Maintain desk inventory and manage workload to meet productivity and quality standards.
Conduct special projects and other duties as assigned, documenting findings and communicating results.
Identify potential delays and trends with payors and respond proactively to avoid A/R aging.
Participate in meetings, training seminars, and in‑services to develop job knowledge.
Respond promptly to emails and telephone messages.
Ensure compliance with state and federal laws, regulations for Managed Care and other third‑party payors.
Vaccination Requirements Conifer requires candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to employment. This may include COVID‑19, influenza, and any future required vaccines and screenings.
Knowledge, Skills, and Abilities
Comprehensive understanding of the revenue cycle process from patient access to collections.
Intermediate skills in Microsoft Office (Word, Excel).
Quick learning of hospital systems (ACE, VI Web, IMaCS, OnDemand).
Strong oral and written communication skills.
Excellent interpersonal and analytical skills.
Sound decision‑making ability.
Full understanding of Commercial, Managed Care, Medicare, Medicaid collections, including contract language and regulatory requirements.
Familiarity with HMO, PPO, IPA, Capitation and how these payors process claims.
Intermediate knowledge of EOB, UB‑04, and HCFA 1500 forms.
Strong problem‑solving, prioritization, and follow‑through skills.
Education / Experience
High School diploma or equivalent; some college coursework in business administration or accounting preferred.
1‑4 years of medical claims and/or hospital collections experience.
Typing speed of 45 words per minute.
Physical Demands
Office/team work environment.
Ability to sit and work at a computer terminal for extended periods.
Work Environment
Call center environment with multiple workstations in close proximity.
Compensation and Benefit Information Compensation
Pay: $15.80 - $23.70 per hour, dependent 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 of 12 days per year, accruing at a rate of approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Equal Employment Opportunity Statement 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. The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Essential Duties and Responsibilities
Research and resolve each account using patient accounting applications and internet resources, contacting third‑party payors and/or patients via phone, e‑mail, or online.
Update plan IDs, adjust patient or payor demographic/insurance information, document actions in detail, identify payor issues and trends, and undertake re‑collection actions.
Request additional information from patients, medical records, or other documentation as needed by payors.
Review contracts to identify billing or coding issues, request re‑bills, secondary billing, or corrected bills as required.
Take appropriate action to achieve account resolution or open a dispute record for further research.
Maintain desk inventory and manage workload to meet productivity and quality standards.
Conduct special projects and other duties as assigned, documenting findings and communicating results.
Identify potential delays and trends with payors and respond proactively to avoid A/R aging.
Participate in meetings, training seminars, and in‑services to develop job knowledge.
Respond promptly to emails and telephone messages.
Ensure compliance with state and federal laws, regulations for Managed Care and other third‑party payors.
Vaccination Requirements Conifer requires candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to employment. This may include COVID‑19, influenza, and any future required vaccines and screenings.
Knowledge, Skills, and Abilities
Comprehensive understanding of the revenue cycle process from patient access to collections.
Intermediate skills in Microsoft Office (Word, Excel).
Quick learning of hospital systems (ACE, VI Web, IMaCS, OnDemand).
Strong oral and written communication skills.
Excellent interpersonal and analytical skills.
Sound decision‑making ability.
Full understanding of Commercial, Managed Care, Medicare, Medicaid collections, including contract language and regulatory requirements.
Familiarity with HMO, PPO, IPA, Capitation and how these payors process claims.
Intermediate knowledge of EOB, UB‑04, and HCFA 1500 forms.
Strong problem‑solving, prioritization, and follow‑through skills.
Education / Experience
High School diploma or equivalent; some college coursework in business administration or accounting preferred.
1‑4 years of medical claims and/or hospital collections experience.
Typing speed of 45 words per minute.
Physical Demands
Office/team work environment.
Ability to sit and work at a computer terminal for extended periods.
Work Environment
Call center environment with multiple workstations in close proximity.
Compensation and Benefit Information Compensation
Pay: $15.80 - $23.70 per hour, dependent 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 of 12 days per year, accruing at a rate of approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Equal Employment Opportunity Statement 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. The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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