Denial Management and Follow Up Representative - Remote

Conifer Health Solutions; Frisco (TX); Remote; Full time

Job summary

A leading healthcare solutions provider is seeking a Denial Management and Follow Up Representative to ensure timely resolution of patient accounts. The role requires knowledge of the revenue cycle and effective communication with various stakeholders. The representative will follow up on claims, resolve billing issues, and support team efforts. Ideal candidates will have experience in medical claims and strong analytical skills.

Benefits

Health Insurance

Paid Time Off

401k

Flexible Spending Accounts

Voluntary Benefits

Qualifications

• 1-4 years of medical claims or hospital collections experience.
• Typing speed of at least 45 wpm.

Responsibilities

• Interact with insurance plans, patients, and team members.
• Follow up on uncollected balances and resolve billing issues.
• Document account activities clearly.

Skills

Communication

Analytical

Interpersonal Skills

Education

High school diploma or equivalent

Some college preferred

Tools

Microsoft Office

Job description

Denial Management and Follow Up Representative - Remote

Join to apply for the Denial Management and Follow Up Representative - Remote role at Conifer Health Solutions.

Job Summary

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This role requires a solid understanding of the Revenue Cycle, from account creation to payment. The representative will follow up on claim submissions, review remittances for insurance collections, and pursue disputed balances from government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare, and Medicaid insurance is preferred. Success in this role depends on teamwork, adaptability, and minimal supervision to resolve accounts effectively.

Responsibilities

• Interact professionally with insurance plans, patients, physicians, attorneys, and team members.
• Navigate various systems and payer websites to resolve accounts.
• Document account activities clearly and concisely.
• Meet productivity and quality standards.
• Identify issues and communicate them promptly.
• Support team members as needed.

Essential Duties

• Research accounts using company applications and online resources.
• Follow up on uncollected balances, contacting payors and patients.
• Update account information and resolve billing issues.
• Escalate delays and trends to supervisors.
• Participate in meetings and training.

Qualifications

• High school diploma or equivalent; some college preferred.
• 1-4 years of medical claims or hospital collections experience.
• Typing speed of at least 45 wpm.

Skills and Abilities

• Understanding of the revenue cycle process.
• Proficiency in Microsoft Office.
• Ability to learn hospital systems quickly.
• Strong communication and interpersonal skills.
• Analytical and decision-making skills.

Work Environment & Physical Demands

Office setting with the ability to sit and work at a computer for extended periods.

Compensation & Benefits

Hourly wage: $15.80 - $23.70, depending on experience and location. Benefits include health insurance, paid time off, 401k, holidays, flexible spending accounts, and voluntary benefits.