Follow up and Denial Representative - Remote

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

Job summary

A leading company in healthcare solutions is seeking a Follow up and Denial Representative. This remote role involves managing patient accounts, ensuring timely resolutions, and collaborating with insurance entities. Ideal candidates will have a solid understanding of the revenue cycle and strong communication skills. Join a dynamic team to enhance your career in medical claims and collections.

Benefits

Health Insurance

Paid Time Off

401k

Holidays

Voluntary Benefits

Signing Bonus

Qualifications

• 1-4 years of medical claims or hospital collections experience.
• Thorough understanding of the revenue cycle process.

Responsibilities

• Interact with insurance plans, patients, and team members.
• Resolve uncollected balances and update account information.
• Document all actions in the patient accounting system.

Skills

Communication

Analytical

Decision-Making

Education

High School diploma or equivalent

Some college preferred

Tools

Microsoft Office

Job description

Follow up and Denial Representative - Remote

Join to apply for the Follow up and Denial 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 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 role involves following up on claim submissions, reviewing remittances for insurance collections, and pursuing disputed balances from government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare, and Medicaid insurance is preferable. Success in this role depends on working as part of a dynamic team and adapting to changing work assignments while resolving accounts with minimal assistance.

Key Responsibilities

• Interact professionally with insurance plans, patients, physicians, attorneys, and team members.
• Navigate various system applications and payer websites to resolve accounts.
• Document all actions clearly and concisely in the patient accounting system.
• Meet department productivity and quality standards.
• Identify issues and communicate them promptly to management.
• Support team members as needed to ensure workflow continuity.

Essential Duties and Responsibilities

• Research accounts using company applications and internet resources, contacting payors or patients as needed.
• Resolve uncollected balances, update account information, and create disputes when necessary.
• Participate in meetings and training to enhance knowledge.
• Ensure compliance with applicable laws and regulations.

Qualifications and Skills

• Thorough understanding of the revenue cycle process.
• Intermediate skills in Microsoft Office.
• Ability to quickly learn hospital systems.
• Strong communication, analytical, and decision-making skills.
• Knowledge of insurance terms and billing forms.

Education and Experience

• 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.

Physical Demands and Work Environment

• Office environment requiring prolonged sitting and computer use.
• Call center setting with multiple workstations.

Compensation and Benefits

Hourly pay ranges from $15.80 to $23.70, depending on experience and location. Benefits include health insurance, paid time off, 401k, holidays, and voluntary benefits. Conifer may offer a signing bonus for qualified new hires.

Conifer Health is committed to diversity and equal employment opportunity. Reasonable accommodations are available for qualified individuals with disabilities.