Tenet Healthcare Corporation

The position is strategically responsible for protecting company interests and advancing business objectives related to Clinical Documentation Improvement (CDI) by ensuring staff accurately capture acuity and severity for optimal hospital reimbursement. This involves tracking and auditing CDI performance, creating reports, maintaining dashboards, analyzing data, monitoring KPIs, and providing education under the direction of the National Director.

The Senior Representative is responsible for all aspects of accounts receivable follow-up, taking necessary steps to resolve accounts timely by reviewing claims, remittances, and pursuing disputed balances from various payors. This role involves researching accounts, conducting necessary communications, updating account details, and ensuring timely resolution or dispute initiation to bring in revenue.

The Patient Account Representative is tasked with resolving accounts in a timely manner by following up on claim submissions, reviewing remittances for insurance collections, and pursuing disputed balances from various payors. This involves researching accounts using internal applications and external resources, contacting third parties, and updating account information to eliminate rework and bring in revenue.

The Patient Account Representative is tasked with resolving accounts in a timely manner by following up on claim submissions, reviewing remittances for insurance collections, and pursuing disputed balances from various entities. This involves researching accounts, contacting third-party payors and patients, and solving issues to ensure revenue collection while maintaining productivity and quality standards.

The Senior Representative is responsible for all aspects of accounts receivable follow-up, including timely resolution of accounts through claim submission follow-up, remittance review, and pursuing disputed balances from various payors. This role involves researching accounts, performing necessary actions in patient accounting systems, and ensuring desk inventory remains current while meeting productivity and quality standards.

The Corporate Coder is responsible for the accurate coding and abstracting of clinical information from medical records while maintaining standards for coding data quality and integrity within established guidelines. This role also involves coding for assigned Tenet facilities, assisting with productivity to maintain DNFC, quality chart reviews, and training new coders.

The Corporate Coder is responsible for the accurate coding and abstracting of clinical information from the medical record while maintaining standards for coding data quality and integrity within established guidelines. This role also involves coding for assigned Tenet facilities, assisting with productivity to maintain DNFC, supporting quality chart reviews, and aiding in the training of new coders.

The Patient Account Representative is responsible for resolving accounts in a timely manner by following up on claim submissions, reviewing remittances for insurance collections, and pursuing disputed balances from various payors. This involves researching accounts using internal applications and external resources, contacting third parties, and updating demographic or insurance information as needed.

The specialist is responsible for validating dispute reasons after reviewing Explanation of Benefits (EOB), escalating payment variance trends to management, and generating appeals for denied or underpaid claims. Key duties include ensuring coding accuracy, coordinating clinical consultations, researching contract terms, and following specific payer appeal submission guidelines.

The representative is responsible for working patient accounts to ensure timely resolution by following up on claim submissions, reviewing remittances for insurance collections, and pursuing disputed balances from various entities. This involves researching accounts, conducting activities with third-party payors and patients, and updating account information to resolve issues and bring in revenue.