Patient Account Representative-Remote

Apply for the Patient Account Representative‑Remote role at Conifer Health Solutions
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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 from account creation to payment, including follow‑up on claim submission, remittance review, and collection of disputed balances from both government and non‑government entities. The candidate should have basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance and the ability to work independently while collaborating closely with management and the team.

• Research each account using company patient accounting applications and internet resources.
• Conduct appropriate account activity on uncollected balances, contacting third‑party payors and/or patients via phone, e‑mail, or online channels.
• Problem solve issues and create resolutions that bring in revenue while eliminating re‑work.
• Update plan IDs, adjust patient or payor demographic/insurance information, and notate account details.
• Identify payor issues and trends, and solve recurring collection problems.
• Request additional information from patients, medical records and other needed documentation from payors.
• Review contracts and identify billing or coding issues; request re‑bills, secondary billing or corrected bills as needed.
• Take appropriate action to bring about account resolution timely or open a dispute record for further research.
• Maintain desk inventory and productivity while meeting quality standards.
• Perform special projects and other duties as assigned, documenting findings and communicating results.
• Recognize potential delays and trends with payors, such as corrective actions, and respond to avoid A/R aging.
• Escalate payment delays or aged accounts to the supervisor in a timely manner.
• Participate in meetings, training seminars and in‑services to develop job knowledge.
• Respond promptly to emails and telephone messages as appropriate.
• Ensure compliance with State and Federal laws and regulations for Managed Care and other third‑party payors.

• Thorough understanding of the revenue cycle process from patient access through billing, appeals and collections.
• Intermediate skill in Microsoft Office (Word, Excel).
• Quick learning ability for hospital systems – ACE, VI Web, IMaCS, OnDemand.
• Clear and professional communication, strong oral and written skills.
• Strong interpersonal, analytical and critical thinking skills.
• Ability to make sound decisions.
• Full understanding of Commercial, Managed Care, Medicare and Medicaid collections, including contract language and Federal/State requirements.
• Knowledge of HMO, PPO, IPA, Capitation and how payors process claims.
• Intermediate understanding of EOB, UB‑04, and HCFA 1500 forms.
• Problem‑solving and prioritization skills with strong follow‑through on assigned tasks.
• 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.
• Minimum typing requirement of 45 words per minute.

• Office/Team work environment; seat and work at a computer terminal for extended periods.
• Call center environment with multiple workstations in close proximity.

• Pay: $15.80 - $23.70 per hour, depending on location, qualifications and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Observed holidays receive time and a half.

• Medical, dental, vision, disability, and life insurance.
• Paid time off (vacation & sick leave) – minimum of 12 days per year, accruing at ~1.84 hours per 40 hours worked.
• 401(k) with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts and flexible spending accounts for health & dependent care.
• Employee assistance program and employee discount program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, paid leave under the Colorado Healthy Families and Workplaces Act.

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.