Patient Account Senior Representative - Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare solutions provider is seeking a Patient Account Senior Representative to manage accounts receivable activities. This remote role involves resolving patient account issues, collaborating with insurance entities, and supporting team training. Ideal candidates will have a strong understanding of the revenue cycle and excellent communication skills.

Qualifications

• 2-5 years experience in Medical/Hospital Insurance collections.
• Minimum typing speed of 45 wpm.

Responsibilities

• Research accounts to resolve balances using various resources.
• Update account information and identify billing issues.
• Assist in training staff and maintain productivity standards.

Skills

Communication

Analytical Skills

Decision-Making

Education

High school diploma or equivalent

Job description

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Job Summary

The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, including 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. The 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. They will participate and assist in special projects, provide A/R support to the team, and help train or support staff to increase production and quality. Success in this role depends on working as part of a dynamic team and adapting to changing work assignments, while resolving complex accounts with minimal assistance.

Essential Duties and Responsibilities

• Research accounts using company applications and internet resources, contacting third-party payors and/or patients via phone, email, or online to resolve balances.
• Update account information, identify payor issues, and create resolutions to bring accounts current.
• Request additional documentation, review contracts, and identify billing issues for re-billing as needed.
• Maintain current desk inventory, meet productivity and quality standards, and participate in special projects.
• Recognize delays and trends, escalate issues timely, and compile data to resolve escalated account issues.
• Assist in training staff and participate in meetings and training to develop job knowledge.

Knowledge, Skills, and Abilities

• Thorough understanding of the revenue cycle process from patient access to collections.
• Good communication skills, technical proficiency, and interpersonal skills.
• Strong analytical and decision-making skills.
• Full understanding of various insurance collections and federal/state payor requirements.

Minimum Education/Experience

• High school diploma or equivalent.
• 2-5 years experience in Medical/Hospital Insurance collections.
• Minimum typing speed of 45 wpm.