Patient Accounts Representative-FT-FESC-Tacoma, WA (Mon-Fri 7:30-4:00 or 8:00-4:30) at Tacoma

Description

Tenet, through its subsidiaries, owns and operates acute care hospitals and numerous related health care services. Our mission is to be recognized for our commitment to our people and partners who provide quality, innovative care to the patients we serve in our communities. Its a spirit you can experience first-hand and its a philosophy that can enhance your own approach to health care and your career goals.

As a part of the Tenet and Catholic Health Initiatives family, 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, patient communication s, and value-based care solutions, we empower healthcare decision makershospitals, health systems, physicians, self-insured employers, and payersto 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!

Conifer Health Solutions is currently hiring for a Patient Account Representative.

JOB SUMMARY
This job is responsible for producing accurate bills and/or initiating collection from third-party payors in accordance with procedures and regulatory guidelines. An incumbent researches accounts, identifies errors and follows up to ensure that they are corrected. Work also involves resolving issues that are holding up timely claim payments.

ESSENTIAL JOB FUNCTIONS: The following section contains representative examples of job duties that might be performed in positions allocated to this job class. Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees. Accordingly, employees may be asked to perform duties that are outside the specific work that is listed. It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described. Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.

• Produces and sends daily bills to payors within policy time limits.
• Verifies accuracy of all bills produced.
• Identifies consistent billing errors and reports recurring problems to Lead Patient Account Representative.
• Assists with submission of claims for electronic billing, including timely correction and reprocessing.
• Follows up on accounts with third parties for proper and timely reimbursement.
• Resolves issues holding up timely claim payment, including requests for medical records, coordination with Customer Service and communication with the patient.
• Calls insurance companies as required for timely claim payment according to policies.
• Interacts with specific payors to resolve billing and/or claim payment problems.
• Maintains key factor statistics.
• Maintains positive customer relationships.
• Functions as a payor team member to ensure maximum cash flow and reimbursement for the hospitals.
• Performs related duties as required.

Qualifications

MINIMUM JOB QUALIFICATIONS: The following section contains representative examples of competencies and job qualifications directly related to successful performance in the position. The categories are broad, reflecting minimum requirements. It is not intended to be an exhaustive list of all possible requirements nor does it include general competencies, expectations and/or skills that are universally applicable to the work, but are not critical for recruitment purposes or to overall job performance.

Education/Work Experience Requirements
One year of work experience in Patient Accounting or Admitting in a healthcare environment, OR any combination of experience and education that would demonstrate the capability to perform the duties of the position.

Job Knowledge/Skills:

• Knowledge of medical insurance and the application of diagnostic codes.
• Knowledge of payor and billing, including Medicare, DSHS, L&I and HMO/PPO contracts.
• Knowledge of Medicaid eligibility requirements sufficient to perform the duties of the position.
• Ability to establish and maintain effective working relationships as required by the duties of the position.
• Ability to understand and explain procedures, and to identify and correct billing errors.
• Ability to use automated systems and operate office equipment at an acceptable level of proficiency.

IN AN EFFORT TO PROVIDE A MORE HEALTHY, SAFE AND SATISFYING ENVIRONMENT TO OUR EMPLOYEES, INDIVIDUALS TO WHOM JOB OFFERS ARE EXTENDED WILL UNDERGO NICOTINE TESTING AS A PART OF THE PRE-EMPLOYMENT PROCESS.
Country: USA, State: Washington, City: Tacoma, Company: Conifer Health Solution.