The Hospitals of Providence Patient Account Rep- Frisco NIC in Frisco, Texas
Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management at http://coniferhealth.com/revenue-cycle.html , patient communication at http://coniferhealth.com/patient-communications.html s, and value-based care at http://coniferhealth.com/valuebasedcare.html solutions, we empower healthcare decision makers—hospitals, health systems, physicians, self-insured employers, and payers—to better connect every point of care and wellness management. 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 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 the 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 my management, including acting as a point of contact for internal operational questions.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned .
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.
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.
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
Include minimum education, technical training, and/or experience preferred to perform the job.
High school diploma or equivalent education
3-6 years experience in Medical/Hospital Insurance related collections
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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
At our campus, our purpose at Conifer Health is to provide the foundation for better health – the health of our clients, the communities in which we work and serve, and most importantly each other. That is why we will be tobacco-free, meaning there will be no designated smoking areas or use of any tobacco, nicotine or smoking products on the premises.
Job: Conifer Health Solutions
Organization: 238-Conifer - Frisco, TX
Title: Patient Account Rep- Frisco NIC
Requisition ID: 1605047340