Patient Account Lead Representative - Remote
Requisition Number:
2305044988 Position Title:
External 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 my 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 Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.
This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
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.
City:
Frisco State:
Texas Community / Marketing Title:
Patient Account Lead Representative - Remote Company Profile:
EEO Employer Verbiage:
Location_formattedLocationLong:
Frisco, Texas US Job Number:
71808 Recommended Skills Medical Billing And Coding Billing Systems Claim Processing Patient Accounting Explanation Of Benefits (Eob) Calling Insurance Companies Estimated Salary: $20 to $28 per hour based on qualifications.
2305044988 Position Title:
External 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 my 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 Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.
This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
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.
City:
Frisco State:
Texas Community / Marketing Title:
Patient Account Lead Representative - Remote Company Profile:
EEO Employer Verbiage:
Location_formattedLocationLong:
Frisco, Texas US Job Number:
71808 Recommended Skills Medical Billing And Coding Billing Systems Claim Processing Patient Accounting Explanation Of Benefits (Eob) Calling Insurance Companies Estimated Salary: $20 to $28 per hour based on qualifications.
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