Tenet Healthcare Corporation Frisco , TX 75034
Posted 7 days ago
JOB SUMMARY
The primary purpose of the REP, PHYS SVC AR IV team is to pursue reimbursement of services rendered and achieve accounts receivable resolution. This team works through open accounts receivables (denials and delinquent accounts) by actively calling payer organizations or utilizing web-based connectivity. Team members manage accounts by utilizing the IDX Paperless Collection System and Epic follow-up work queues.
The core responsibilities of a REP, PHYS SVC AR IV is to perform collection follow-up steps with insurance carriers and/or patients regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections for our clients. Specific tasks include resolving insurance carrier denials, appealing claims, contacting carriers on open accounts and responding to insurance carrier correspondence and/or inquiries. This position holds additional duties with respect to research and analysis, client contact and participation in employee training with possible exposure to multiple practice management systems
ESSENTIAL DUTIES AND RESPONSIBILITIES
Contact insurance carriers through website, email or telephone to resolve outstanding accounts
Analyze and resolve moderately complex insurance denials including coding review to prevent errors within appeals process
Appeal and/or resubmit unresolved invoices to insurance carriers
Research and respond to insurance correspondence
Update registration information, post denial codes and adjustments in practice management systems
Analyze weekly denial reports to spot trends; assess opportunities to improve internal workflows within entire revenue cycle
Maintain internal logs (Excel format) and compile system reports
Assist in employee training and mentorship; perform quality assurance checks on team members
Contact client for missing data elements or confirmation of information
Participate in system testing related to upgrades and enhancement.
Others may be assigned.
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
EDUCATION / EXPERIENCE
High school diploma or equivalent
4-6 years experience in healthcare collections and/or healthcare related field
Previous experience with IDX or Epic medical billing systems preferred
Knowledge of CPT, ICD-9 and HCPCS codes
Fluent knowledge of entire revenue cycle process
Sharp intelligence of government payers and other commercial/managed care carrier rules and processes in a professional billing environment
Attention to detail with the ability to identify/resolve problems and document the outcome
Extensive skill with Microsoft Office applications
Strong written and verbal communication skills
Excellent analytical and problem-solving skills
Ability to multi-task and recognize trends to effectively work A/R
Ability to work independently and handle sensitive issues with confidentiality
Initiative to learn new tasks and the ability to apply acquired knowledge to future duties
Flexibility, adaptability and accountability are necessary for optimum client results
POSITION COMPETENCIES:
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!
Compensation and Benefit Information
Compensation
Pay: $17.20 - $25.70 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.
Benefits
Conifer offers the following benefits, subject to employment status:
Medical, dental, vision, disability, and life insurance
Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k 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.
For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act.
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Tenet Healthcare Corporation