Patient Account Lead Representative - Remote

Join to apply for the Patient Account Lead Representative - Remote role at Conifer Health Solutions

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 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 by management, including acting as a point of contact for internal operational questions.

• 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.

$2.5 million R&D Budget

• 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

• High school diploma or equivalent education
• 3‑6 years experience in Medical/Hospital Insurance related collections

Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Office/Teamwork Environment

• Pay: $20.51 – $30.77 per hour. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Conifer observed holidays receive time and a half.

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – minimum 12 days per year
• 401(k) with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, 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

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. Tenet participates in the E‑Verify program.

E‑Verify: http://(Use the "Apply for this Job" box below). The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.