[Hiring] Senior Accounts Receivable Representative @Tenet Healthcare Corporation

Role Description

The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities.

• Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients to obtain collection-related information.
• Basic computer skills to navigate through various system applications for determining account actions.
• Access payer websites and discern pertinent data to resolve accounts.
• Utilize all available job aids provided for appropriateness in follow-up 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 as determined by leadership.
• Skilled in working with complex medical claim issues.
• Identify and communicate any issues including system access, payor behavior, and account/work-flow inconsistencies.
• Compile data to substantiate and utilize to resolve payer, system, or escalated account issues.
• Assist new or existing staff with training or techniques to increase production and quality.
• 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.
• Good written and verbal communication skills.
• Intermediate technical skills including PC and MS Outlook.
• Strong interpersonal skills.
• Above average analytical and critical thinking skills.
• Ability to make sound decisions.
• Full understanding of the Commercial, Managed Care, Medicare, and Medicaid collections.
• Intermediate knowledge of Managed Care contracts, Contract Language, and Federal and State requirements for government payors.
• Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation.
• Intermediate knowledge of CPT and ICD-9 codes.
• Advanced knowledge of insurance billing, collections, and insurance terminology.

Requirements

• High school diploma or equivalent education.
• 2-5 years experience in Medical/Hospital Insurance related collections.
• 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, 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, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.