Tenet Healthcare Corporation Frisco , TX 75034
Posted 2 weeks ago
JOB SUMMARY
The primary purpose of the REP, PHYS SVC REFUNDS is to review all credit balances that are created on a patient's account to determine whether the credit is a true refund, or the appropriate actions needed to remove the credit from the patient's account within timely manner from identification and in accordance with CMS rules and regulations, provider contracts and/or Conifer policies.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Examine the credit balances for one or more clients.
Run monthly credit balance reports.
Research, analyze, and successfully resolve a credit balance to completion.
Communicate with insurance companies and occasionally patients.
Utilization of insurance websites
Comply with Cash Applications department policies and procedures.
Maintain productivity and quality standards set by the Refunds Manager
Meet deadlines set by the department, client contracts and/or Conifer organization.
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 General Education Degree (GED) required.
Intermediate skill level using Microsoft applications: Word, Excel, Outlook, Teams
EPIC and GE Centricity/IDX/Athena experience helpful
Basic knowledge of government insurances (CMS, Medicare, Medicaid, Tricare)
Basic knowledge of national insurances (Blue Cross, UHC, Aetna, Cigna, etc.)
Must have effective oral and written communication skills.
Ability to operate effectively as a team member and be able to manage time constraints daily/weekly/monthly.
Initiative to learn new tasks and the ability to apply acquired knowledge to future duties.
Medical Billing/Revenue Cycle experience helpful
Cash Posting experience helpful.
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: $13.40-$20.00 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.
2403015965
Tenet Healthcare Corporation