[Hiring] Hospital Patient Account Collections Representative @Conifer Health Solutions

Role Description

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. The representative will need to effectively follow up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.

• Perform duties as assigned in a professional demeanor, interacting with insurance plans, patients, physicians, attorneys, and team members as needed.
• Basic computer skills to navigate through various system applications.
• Access payer websites and discern pertinent data to resolve accounts.
• Utilize all available job aids for appropriateness in Patient Accounting processes.
• Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account.
• Maintain department daily productivity goals while meeting quality standards.
• Identify and communicate any issues including system access, payor behavior, and account workflow inconsistencies.
• Provide support for team members that may be absent or backlogged.

Qualifications

• Thorough understanding of the revenue cycle process, from patient access through Patient Financial Services procedures and policies.
• Intermediate skill in Microsoft Office (Word, Excel).
• Ability to learn hospital systems quickly and fluently.
• Ability to communicate in a clear and professional manner.
• Good oral and written skills.
• Strong interpersonal skills.
• Above average analytical and critical thinking skills.
• Ability to make sound decisions.
• Full understanding of Commercial, Managed Care, Medicare, and Medicaid collections.
• Familiar with terms such as HMO, PPO, IPA, and Capitation.
• Intermediate understanding of EOB and hospital billing form requirements.
• Ability to problem solve, prioritize duties, and follow through completely with assigned tasks.

Requirements

• High School diploma or equivalent; some college coursework in business administration or accounting preferred.
• 1-4 years medical claims and/or hospital collections experience.
• Minimum typing requirement of 45 wpm.

Benefits

• Medical, dental, vision, disability, and life insurance.
• Paid time off (vacation & sick leave) – minimum of 12 days per year, accruing 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 and Employee discount program.
• Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.