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Patient Account Representative
| Hours | Full-time, Part-time |
|---|---|
| Location | Saint Ann, MO Saint Ann, Missouri |
About this job
As a part of the Tenet and Catholic Health Initiatives
family, Conifer Health brings 30 years of healthcare industry expertise to
clients in more than 135 local regions nationwide. We help our clients
strengthen their financial and clinical performance, serve their communities
and succeed at the business of healthcare. Conifer Health helps organizations
transition from volume to value-based care, enhance the consumer and patient
healthcare experience and improve quality, cost and access to healthcare. Are
you ready to be part of our solutions?
Welcome to the company that gives you the resources and incentives to
redefine healthcare services, with a competitive benefits package and
leadership to take your career to the next step!
Responsible for all aspects of
billing, follow up and collection activity.
ESSENTIAL DUTIES AND RESPONSIBILITIESinclude the
following. Other duties may be assigned.
- Responsible for all aspects of
follow up and collections, including making telephone calls, accessing payer
websites. Identify issues or trending
and provide suggestions for resolution.
Accurately and thoroughly documents 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. - Participate and attend meetings,
training seminars and in-services to develop job knowledge. Participate in the
monthly, quarterly and annual performance evaluation process with their
Supervisor. Respond timely to emails and
telephone messages as appropriate.
Communicate issues to management, including payer, system or escalated
account issues.
KNOWLEDGE,
SKILLS, ABILITIES
To perform this job successfully, an
individual must be able to perform each essential duty satisfactorily. The requirements listed below are
representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential functions.
- Good written and verbal
communication skills - Intermediate technical skills
including PC and MS Outlook - Intermediate knowledge of UB-04 and
Explanation of Benefits (EOB) interpretation - Intermediate knowledge of CPT and
ICD-9 codes - Intermediate knowledge of insurance
collections and insurance terminology
Include minimum education, technical
training, and/or experience preferred to perform the job.
- High school diploma or equivalent
education - 0-4 years of experience in
Medical/Hospital Insurance related collections
The work environment characteristics
described here are representative of those an employee encounters while
performing the essential functions of this job.
Reasonable accommodations may be made to enable individuals with
disabilities to perform the essential functions.
- Office/Team Work Environment