Patient Account Representative
About this role
Company Description
Conifer Health has been providing managed services to health systems, their health plans and managed populations for more than 30 years. Our value-based solutions enhance consumer engagement, drive clinical alignment, manage risk, and improve financial performance.
Our purpose of providing the foundation for better health fuels our clients to meet the unique needs of the communities they serve.
Job Description
Essential Functions:
- 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.
Qualifications
Minimum Education/ Licensures/Qualifications
- HS/Diploma GED equivalent
- 1-2 years of Hospital Billing/Collections Experience (must have UB04/92)
- Able to handle 70-75 accounts per day
- Must have knowledge of Medicaid – IL Specific or IL HMO
- Must have strong AR follow up experience
- Follow Up service is designed to increase Revenue Collection for Hospitals and Physician offices. The process begins after the Doctor’s biller creates and sends Health Insurance Claims (Electronic/ Paper claims or Manual HCFA forms) to various Insurance companies. Depending on the transmission type and length of time since submission we begin our follow-up:
Electronic Claims: Follow-Up begins 10+ days after submission
Paper/HCFA Claims: Follow-Up begins 20-45 days after submission
Additional Information
Advantages of this Opportunity:
- Competitive salary, negotiable based on relevant experience
- Benefits offered, Medical, Dental, and Vision
- Fun and positive work environment
- Monday-Friday must be available from 8:00AM to 5:00PM hour shift.
Frequently Asked Questions
Is the salary disclosed for the Patient Account Representative position at healthcaresupportstaffing1?
The salary for this Patient Account Representative role at healthcaresupportstaffing1 is not publicly listed. Click "Apply Now" to learn more about the compensation package on their official careers page.
Where is the Patient Account Representative position at healthcaresupportstaffing1 located?
This Patient Account Representative role at healthcaresupportstaffing1 is based in Berwyn, Berwyn, IL, United States, IL, us. The position is listed as on-site or hybrid. Check the full job description or apply directly to confirm the work arrangement.
Is the Patient Account Representative role at healthcaresupportstaffing1 full-time or part-time?
This is listed as a Full time position. It is posted as a Patient Account Representative role at healthcaresupportstaffing1.
How do I apply for the Patient Account Representative position at healthcaresupportstaffing1?
Click the "Apply Now" button on this page. You will be redirected to healthcaresupportstaffing1's official application portal hosted on smartrecruiters where you can submit your application directly.
When was the Patient Account Representative job at healthcaresupportstaffing1 posted?
This Patient Account Representative position at healthcaresupportstaffing1 was posted on May 19, 2017. Apply as soon as possible — early applications are often reviewed first.
Patient Account Representative
healthcaresupportstaffing1
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