Patient Account Senior Representative - Remote Contract
Conifer Health Solutions, Frisco, TX, United States
Job Summary
The Accounts Receivable Senior Representative is responsible for all aspects of follow‑up activity, taking appropriate steps to resolve accounts in a timely manner. The candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Responsibilities include following up on claim submission and remittance review for insurance collections, creating and pursuing disputed balances from both government and non‑government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. The role also involves participating in special projects and providing A/R support to the team, providing training or techniques to increase production and quality, and supporting staff that may be absent or backlogged.
Key Responsibilities
Conduct telephone calls in a professional manner when contacting payors and/or patients to obtain collection related information.
Navigate system applications and a variety of client resources to determine appropriate account actions, possibly using multiple systems for different clients.
Access payer websites and discern pertinent data to resolve accounts.
Utilize all available job aids for appropriate follow‑up processes.
Document clear and concise notes in the patient accounting system regarding claim status and actions taken.
Maintain department daily productivity goals while meeting quality standards as determined by leadership.
Identify and communicate issues including system access, payor behavior, account/work‑flow inconsistencies or other collection opportunities.
Research each account using patient accounting applications and internet resources, and resolve uncollected balances by contacting third‑party payors and/or patients via phone, e‑mail, or online.
Problem‑solve, identify billing or coding issues, and request re‑bills, secondary billing, or corrected bills as needed.
Update plan IDs, adjust demographics/insurance information, and note account details thoroughly.
Escalate payment delays or aged accounts to the Supervisor in a timely manner.
Assist with special projects, document findings, and communicate results to leaders.
Participate in meetings, training seminars, and in‑services to develop job knowledge.
Qualifications
Thorough understanding of the revenue cycle process from patient access through billing, insurance appeals, and collections.
Good written and verbal communication skills.
Intermediate technical skills, including PC and Microsoft Outlook.
Strong interpersonal and analytical skills with above‑average critical thinking.
Full understanding of Commercial, Managed Care, Medicare and Medicaid collections, contract language, and federal/state requirements for government payors.
Advanced knowledge of UB‑04 and Explanation of Benefits (EOB) interpretation.
Intermediate knowledge of CPT and ICD‑9 codes (or current equivalents).
Advanced knowledge of insurance billing, collections, and insurance terminology.
High school diploma or equivalent; 2–5 years experience in medical/hospital insurance collections; minimum typing requirement of 45 wpm.
Ability to work closely with management and team members in a dynamic environment.
Compensation
Pay: $17.20–$25.70 per hour (depends on location, qualifications, and experience).
Potential eligibility for a signing bonus for qualified new hires, subject to employment status.
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, 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.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee assistance program and employee discount program.
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, paid leave in accordance with the Colorado Healthy Families and Workplaces Act.
Other Requirements and Conditions
Conifer requires candidates to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment, including COVID‑19 and influenza vaccinations or any future required vaccines.
Physical demands: office environment, ability to sit and work at a computer for extended periods of time.
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.
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Key Responsibilities
Conduct telephone calls in a professional manner when contacting payors and/or patients to obtain collection related information.
Navigate system applications and a variety of client resources to determine appropriate account actions, possibly using multiple systems for different clients.
Access payer websites and discern pertinent data to resolve accounts.
Utilize all available job aids for appropriate follow‑up processes.
Document clear and concise notes in the patient accounting system regarding claim status and actions taken.
Maintain department daily productivity goals while meeting quality standards as determined by leadership.
Identify and communicate issues including system access, payor behavior, account/work‑flow inconsistencies or other collection opportunities.
Research each account using patient accounting applications and internet resources, and resolve uncollected balances by contacting third‑party payors and/or patients via phone, e‑mail, or online.
Problem‑solve, identify billing or coding issues, and request re‑bills, secondary billing, or corrected bills as needed.
Update plan IDs, adjust demographics/insurance information, and note account details thoroughly.
Escalate payment delays or aged accounts to the Supervisor in a timely manner.
Assist with special projects, document findings, and communicate results to leaders.
Participate in meetings, training seminars, and in‑services to develop job knowledge.
Qualifications
Thorough understanding of the revenue cycle process from patient access through billing, insurance appeals, and collections.
Good written and verbal communication skills.
Intermediate technical skills, including PC and Microsoft Outlook.
Strong interpersonal and analytical skills with above‑average critical thinking.
Full understanding of Commercial, Managed Care, Medicare and Medicaid collections, contract language, and federal/state requirements for government payors.
Advanced knowledge of UB‑04 and Explanation of Benefits (EOB) interpretation.
Intermediate knowledge of CPT and ICD‑9 codes (or current equivalents).
Advanced knowledge of insurance billing, collections, and insurance terminology.
High school diploma or equivalent; 2–5 years experience in medical/hospital insurance collections; minimum typing requirement of 45 wpm.
Ability to work closely with management and team members in a dynamic environment.
Compensation
Pay: $17.20–$25.70 per hour (depends on location, qualifications, and experience).
Potential eligibility for a signing bonus for qualified new hires, subject to employment status.
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, 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.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee assistance program and employee discount program.
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, paid leave in accordance with the Colorado Healthy Families and Workplaces Act.
Other Requirements and Conditions
Conifer requires candidates to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment, including COVID‑19 and influenza vaccinations or any future required vaccines.
Physical demands: office environment, ability to sit and work at a computer for extended periods of time.
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.
#J-18808-Ljbffr