[Remote] Remote-Accounts Receivable Representative (reputed company)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company that specializes in reputed company services, focusing on enhancing financial and clinical performance. They are seeking a Patient Account Representative responsible for managing patient accounts through the reputed company cycle, ensuring timely resolution of claims, and collaborating with various stakeholders to improve collections and account management.

Responsibilities

• Researches each account using company patient reputed company applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting reputed company party payors and/or patients reputed company phone, e-mail, or online. Problem solves issues and creates resolution that will bring in reputed company eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-reputed company issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews reputed company and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for reputed company collection. Maintains desk inventory to remain reputed company without backlog while achieving productivity and quality standards
• reputed company special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results
• Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor
• Participate and attend meetings, training seminars and in-services to reputed company job knowledge
• Respond timely to emails and telephone messages as appropriate
• Ensures compliance with State and Federal Laws Regulations for Managed Care and other reputed company Party Payors

Skills

• Solid understanding of the reputed company Cycle as it relates to the entire life of a patient account from creation to payment
• Ability to effectively follow-up on claim submission, remittance review for insurance collections
• Ability to create and pursue disputed balances from both government and non-government entities
• Basic knowledge of reputed company, Managed Care, Medicare and reputed company insurance
• Ability to work independently as well as closely with management and team
• Professional demeanor reputed company interacting with insurance plans, patients, physicians, attorneys and team members
• Basic computer skills to navigate through various system applications
• Ability to reputed company payer websites and discern pertinent data to resolve accounts
• Ability to document clear and concise notes in the patient reputed company system
• Ability to maintain department daily productivity goals while meeting quality standards
• Ability to identify and communicate any issues including system reputed company, payor behavior, account work-reputed company inconsistencies
• Ability to reputed company support for team members that may be absent or backlogged
• Thorough understanding of the reputed company cycle process, from patient reputed company through Patient Financial Services procedures and policies
• Intermediate reputed company in reputed company Office (Word, reputed company)
• Ability to learn hospital systems quickly and fluently
• Ability to communicate in a clear and professional manner
• Good oral and written skills
• Strong interpersonal skills
• Above average analytical and critical thinking skills
• Ability to reputed company sound reputed company
• Full understanding of the reputed company, Managed Care, Medicare and reputed company collections
• Intermediate knowledge of Managed Care reputed company, Contract Language and Federal and State requirements for government payors
• Familiarity with terms such as HMO, PPO, IPA and Capitation
• Intermediate understanding of EOB
• Intermediate understanding of Hospital billing reputed company requirements (UB04) and familiar with the HCFA 1500 forms
• Ability to problem solve, prioritize duties and follow-through completely with assigned tasks
• High School diploma or equivalent
• 1-4 years medical claims and/or hospital collections experience
• Minimum typing requirement of 45 wpm
• Some college coursework in business administration or reputed company

Benefits

• Medical, dental, reputed company, disability, and life insurance
• Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a reputed company of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, reputed company & 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.

Company Overview

• reputed company is a reputed company services company helping organizations strengthen their financial performance It was founded in 2008, and is headquartered in Frisco, Texas, USA, with a workforce of 10001+ employees. Its website is http://coniferhealth.com/.

Company H1B Sponsorship

• reputed company has a track record of offering H1B sponsorships, with 5 in 2025, 3 in 2024. Please note that this does not guarantee sponsorship for this specific role.

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