Patient Account Lead Representative

Join to apply for the Patient Account Lead Representative role at Conifer Health Solutions. 2 days ago Be among the first 25 applicants. Get AI-powered advice on this job and more exclusive features. Job Summary Responsible for providing assistance, coaching and training to staff members, including new hires. Supports the Team, Supervisor and Management with complex inventory and issue resolution. Responsible for all aspects of billing, follow up and collection activity for payers that are supplemental to Medicare. May maintain a large dollar inventory desk or complex accounts and 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 Responsible for all aspects of insurance follow up and collections, including making telephone calls and accessing payer websites. May maintain a large dollar inventory desk as well as serve as just-in-time staffing and 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 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 with 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 $2.5 million R&D Budget Knowledge, Skills, Abilities 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 Vaccination and Screening Requirements 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 High school diploma or equivalent education 3-6 years experience in Medical/Hospital Insurance related collections Physical Demands Physical demands described 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 Office/Teamwork Environment About Conifer Health Solutions As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step Compensation Pay: $20.51 - $30.77 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 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 Colorados Healthy Families and Workplaces Act. Employment Practices Employment practices will not be influenced or affected by an applicants race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in undue hardship. E-Verify: http://www.uscis.gov/e-verify 2503031932 Job Details Seniority Level: Associate Employment Type: Full-time Job Function: Health Care Provider Industry: Hospitals and Health Care and Medical Practices Additional Considerations Referrals increase your chances of interviewing at Conifer Health Solutions by 2x. Job Alerts Sign in to set job alerts for Patient Account Representative roles. #J-18808-Ljbffr