Patient Account Representative – Remote Full Time

Summary:

The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This role involves managing insurance collections, creating and pursuing disputed balances, and using systems to ensure proper resolution. Knowledge of the revenue cycle and various insurance types is essential. Conifer Revenue Cycle Solutions offers a competitive benefits package and opportunities for career growth.

Responsibilities:

• Work accounts to ensure timely resolution.
• Follow-up on claim submission and insurance collections.
• Resolve disputed balances from government and non-government entities.
• Work as part of a dynamic team to achieve revenue cycle success.
• Perform duties professionally, interacting with insurance plans, patients, physicians, and team members.
• Use computer systems and online resources to determine account actions.
• Maintain productivity goals while meeting quality standards.
• Identify and communicate any issues related to system access or payer behavior.
• Support team members who may be absent or backlogged.
• Research accounts using patient accounting applications and resolve issues.
• Request additional information from patients or medical records as needed.
• Identify billing or coding issues and request corrections.
• Perform special projects and assist with other duties.
• Recognize trends or delays in payors and escalate payment issues.
• Attend meetings, training seminars, and in-services for job knowledge development.
• Ensure compliance with state and federal laws for managed care and third-party payors.

Requirements:

• High School diploma or GED; some college coursework in business administration or accounting preferred.
• 1-4 years of medical claims or hospital collections experience.
• Strong knowledge of the revenue cycle process, including patient access and billing.
• Intermediate skill in Microsoft Office (Word, Excel).
• Ability to learn hospital systems quickly.
• Good oral and written communication skills.
• Strong interpersonal skills and critical thinking abilities.
• Familiarity with insurance types such as HMO, PPO, IPA, and Capitation.
• Understanding of HCFA 1500 and UB04 forms.
• Ability to problem solve and prioritize tasks.

Benefits:

• 401(k) with up to 6% employer match.
• Medical, dental, vision, disability, and life insurance.
• Paid time off (minimum of 12 days per year).
• 10 paid holidays per year.
• Health savings accounts, healthcare & dependent flexible spending accounts.
• Employee Assistance Program and Employee Discount Program.
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, and more.
• Paid leave in accordance with Colorado’s Healthy Families and Workplaces Act for Colorado employees.

Tagged as: Conifer Revenue Cycle Solutions, Medical Claims, Medicare, United States