Patient Account Lead Representative - Remote

Tenet Healthcare; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a dedicated professional to manage insurance collections and billing processes. This role involves training staff, resolving inventory issues, and ensuring compliance with billing guidelines. You will play a critical part in supporting the team and management while enhancing operational efficiency. If you have a knack for communication, a strong background in medical billing, and a passion for helping others, this position offers a rewarding opportunity to make a significant impact in a collaborative environment. Join a team that values your contributions and offers a comprehensive benefits package.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

401k with Employer Match

Employee Assistance Program

Employee Discount Program

Voluntary Benefits

Qualifications

• Excellent written and verbal communication skills are essential.
• 3-6 years of experience in medical insurance collections required.

Responsibilities

• Manage all aspects of insurance follow-up and collections.
• Assist and train new hires while enhancing team productivity.
• Document collection activities and resolve complex inventory issues.

Skills

Written Communication Skills

Verbal Communication Skills

Interpersonal Skills

Technical Skills

Insurance Billing Knowledge

CPT and ICD-9 Codes Knowledge

Education

High School Diploma or Equivalent

3-6 Years Experience in Medical Insurance Collections

Tools

PC

MS Outlook

Job description

JOB SUMMARY

Responsible for providing assistance, coaching and training to staff members, including new hires. They support and assist the Team, the Supervisor and Management with complex inventory and issue resolution. Responsible for all aspects of the billing, follow up and collection activity for payers that are Supplemental to Medicare. May maintain a large dollar inventory desk or complex accounts as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. May assist in special projects as assigned by management, including acting as a point of contact for internal operational questions.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites. May maintain a large dollar inventory desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged. Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary. Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed. Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission. Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory. Proactively identify issues or trending and provide suggestions for resolution.
• Provide assistance, coaching and training to staff members, including new hires. Provide enhanced training and assist staff with techniques to increase production, quality and collections. Participate in the new hire peer interviewing process. Assist in special projects assigned by management.
• Participate and attend meetings, training seminars and in-services to develop job knowledge. Attend various conference calls, webinars or advanced training to provide assistance to the team members. Respond timely to emails and telephone messages from the staff, management and the client. Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions.

FINANCIAL RESPONSIBILITY (specify Revenue/Budget/Expense): $2.5 million R&D Budget

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Very good written and verbal communication skills
• Strong interpersonal skills
• Advanced technical skills including PC and MS Outlook
• Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation
• Advanced knowledge of CPT and ICD-9 codes
• Advanced knowledge of insurance billing, collections and insurance terminology

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience preferred to perform the job.

• High school diploma or equivalent education
• 3-6 years experience in Medical/Hospital Insurance related collections

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office/Teamwork Environment

Compensation and Benefit Information

Compensation

• Pay: $18.60 - $28.00 per hour. Compensation depends on location, qualifications, and experience.
• Position may be eligible for a signing bonus for qualified new hires, subject to employment status.
• Conifer observed holidays receive time and a half.

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, and life insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue 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, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.