[Hiring] Patient Account Senior Representative @Conifer Health Solutions

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.

• Effectively follow-up on claim submission and remittance review for insurance collections.
• Create and pursue disputed balances from both government and non-government entities.
• Participate and assist in special projects as well as provide A/R support to the team.
• Assist new or existing staff with training or techniques to increase production and quality.
• Work as part of a dynamic team and adapt to changing work assignments.
• Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients.
• Basic computer skills to navigate through various system applications.
• Access payer websites and discern pertinent data to resolve accounts.
• Document clear and concise notes in the patient accounting system regarding claim status.
• Maintain department daily productivity goals while meeting quality standards.
• Skilled in working with complex medical claim issues.
• Identify and communicate any issues including system access and payor behavior.
• Compile data to substantiate and utilize to resolve payer, system or escalated account issues.

Qualifications

• Thorough understanding of the revenue cycle process.
• 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 Commercial, Managed Care, Medicare and Medicaid collections.
• 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 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

• Pay: $17.20 - $25.70 per hour.
• Position may be eligible for a signing bonus for qualified new hires.
• Conifer observed holidays receive time and a half.
• Medical, dental, vision, disability, and life insurance.
• Paid time off (vacation & sick leave) – min of 12 days per year.
• 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, and more.
• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.