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Role Description

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment.

• Effectively follow-up on claim submission and remittance review for insurance collections.
• Create and pursue disputed balances from both government and non-government entities.
• Work as part of a dynamic team and adapt to changing work assignments.
• Work independently and closely with management to resolve accounts.
• Interact professionally with insurance plans, patients, physicians, attorneys, and team members.
• Utilize basic computer skills to navigate various system applications.
• Access payer websites to resolve accounts and document actions taken.
• Maintain department daily productivity goals while meeting quality standards.
• Identify and communicate issues related to system access and payor behavior.
• Provide support for team members that may be absent or backlogged.

Qualifications

• Thorough understanding of the revenue cycle process.
• Intermediate skill in Microsoft Office (Word, Excel).
• Ability to learn hospital systems quickly and fluently.
• Strong oral and written communication skills.
• Strong interpersonal skills and analytical thinking skills.
• Full understanding of Commercial, Managed Care, Medicare, and Medicaid collections.
• Familiarity with terms such as HMO, PPO, IPA, and Capitation.
• Intermediate understanding of EOB and hospital billing form requirements.
• Ability to problem solve, prioritize duties, and follow through with tasks.

Requirements

• High School diploma or equivalent; some college coursework in business administration or accounting preferred.
• 1-4 years of medical claims and/or hospital collections experience.
• Minimum typing requirement of 45 wpm.

Benefits

• Pay: $15.80 - $23.70 per hour, depending on location, qualifications, and experience.
• Potential signing bonus for qualified new hires.
• Conifer observed holidays receive time and a half.
• Medical, dental, vision, disability, and life insurance.
• Paid time off (min of 12 days per year, accruing at approximately 1.84 hours per 40 hours worked).
• 401k with up to 6% employer match.
• 10 paid holidays per year.
• Health savings accounts and flexible spending accounts.
• Employee Assistance program and Employee discount program.
• Voluntary benefits including pet insurance and legal insurance.
• Paid leave for Colorado employees in accordance with Colorado’s Healthy Families and Workplaces Act.