Patient Account Senior Rep - Remote

Conifer Health Solutions, LLC.; Frisco (TX); On-site; USD 48,000 - 68,000; Full time

Job summary

Conifer Health Solutions, LLC. is seeking an Accounts Receivable Senior Representative to manage follow-up activity across the revenue cycle, from claims submission to payment expectations. You will contact payors and patients, review remittances, and pursue disputed balances for government and commercial accounts.

The role emphasizes teamwork, accuracy in notes, and ability to adapt to changing workloads while supporting staff training and process improvements.

Qualifications

• Experience following up on insurance accounts and obtaining collection information.
• Knowledge of Revenue Cycle from creation to payment.
• Ability to work with government and non-government entity balances.

Responsibilities

• Follow-up on claim submissions and remittance review for insurance collections.
• Create and pursue disputed balances from both government and non-government entities.
• Provide A/R support to the team and assist staff training.
• Resolve complex accounts with minimal guidance and adapt to changing workloads.

Skills

Phone outreach

Communication

Documentation

Teamwork

Tools

Payer portals

Job description

JOB SUMMARY

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. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. 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 as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance.

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. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. 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 as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance.

Senior Representative Must Have The Ability To Work Closely With Management And Team Members Working An Inventory Of Collectible Accounts That Bring In Revenue And Possess The The Following

• Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information
• Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients)
• 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