Senior Patient Account Representative

This is a fully remote position, open to applicants in United States.

📋 Description

• Monitor accounts receivable activities and ensure timely resolution of patient accounts.

• Follow up on claim submissions and assess remittances for insurance collections.

• Initiate and manage disputed balances with governmental and non-governmental entities.

• Conduct telephone outreach related to collections with payors and patients.

• Navigate various computer systems and payer websites to ascertain account actions.

• Record claim statuses and account actions in the patient accounting system.

• Uphold daily productivity and quality standards while managing the inventory of collectible accounts.

• Investigate accounts and reach out to third-party payors or patients via phone, email, or online.

• Update plan IDs along with patient or payor demographic and insurance details.

• Recognize payor issues and trends, and address recoupment challenges.

• Request additional information and documentation from patients, medical records, and other sources as necessary.

• Review contracts, pinpoint billing or coding discrepancies, and initiate rebills, secondary billing, or corrections as needed.

• Open dispute records and escalate overdue payments or aged accounts to the Supervisor.

• Compile data to address payer, system, or escalated account challenges.

• Assist with special projects and communicate insights to leadership.

• Train or support new and existing staff to enhance productivity and quality.

• Provide coverage for absent or overburdened team members.

• Attend meetings, training seminars, and in-service sessions.

⛳️ Requirements

• High school diploma or equivalent educational qualification.

• 2-5 years of experience in Medical/Hospital Insurance collections.

• Minimum typing speed of 45 words per minute.

• Comprehensive understanding of the revenue cycle process from patient access to Patient Financial Services.

• Strong written and verbal communication abilities.

• Intermediate technical proficiency including PC and MS Outlook.

• Excellent interpersonal skills.

• Above-average analytical and critical thinking capabilities.

• Ability to make informed decisions.

• Full understanding of Commercial, Managed Care, Medicare, and Medicaid collections.

• Intermediate knowledge of Managed Care contracts, contract language, and federal and state regulations for government payors.

• Advanced knowledge of UB-04 and Interpretation of Benefits (EOB).

• Intermediate familiarity with CPT and ICD-9 coding.

• Advanced understanding of insurance billing, collections, and relevant terminology.

• Capability to sit and work at a computer for extended periods.

• Must obtain and provide confirmation of necessary vaccinations and screenings, as applicable and permitted by law, prior to employment.

🏝️ Benefits

• Signing bonus may be available for qualified new hires, contingent on employment status.

• Conifer observed holidays offer time and a half compensation.

• Medical, dental, vision, disability, and life insurance coverage.

• Paid time off (vacation & sick leave) – a minimum of 12 days annually.

• 401k plan with up to 6% employer match.

• 10 paid holidays each year.

• Health savings accounts available.

• Flexible spending accounts for healthcare and dependents.

• Employee Assistance program offered.

• Employee discount program accessible.

• Optional benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare, AD&D, as well as auto and home insurance.

• For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

• Competitive benefits package provided.

• Resources and incentives available to support career development.