Patient Account Representative - Remote

Job Summary The Patient Account Representative is responsible for working patient accounts to ensure they are resolved in a timely manner. The candidate should have a solid understanding of the Revenue Cycle from account creation through payment, including claim submission, remittance review, and pursuit of disputed balances from both government and non‑government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. The role requires effective teamwork, adaptability, and the ability to resolve accounts with minimal assistance. Team Member Responsibilities Perform duties as assigned with a professional demeanor, interacting with insurance plans, patients, physicians, attorneys, and team members. Use computer skills to navigate system applications and determine account actions. Access payer websites and discern pertinent data to resolve accounts. Utilize all available job aids for patient accounting processes. Document clear and concise notes in the patient accounting system regarding claim status and actions taken. Maintain daily productivity goals while meeting quality standards. Identify and communicate issues such as system access, payer behavior, workflow inconsistencies, or other collection opportunities. Provide support for team members that may be absent or backlogged. Essential Duties and Responsibilities Research accounts using patient accounting applications and internet resources. Perform appropriate account activity, contact payors and/or patients, problem‑solve issues, and create revenue‑generating resolutions. Update plan IDs, adjust patient or payer demographic/insurance information, notate accounts in detail, and identify payer issues and trends. Request additional information from patients, medical records, and other documentation as required by payors. Review contracts and identify billing or coding issues, request re‑bills, secondary billing, or corrected bills as needed. Take appropriate action to achieve timely account resolution or initiate a dispute record for further research. Maintain desk inventory to remain current without backlog while achieving productivity and quality standards. Assist with special projects, document findings, and communicate results. Recognize potential delays and trends with payors and take corrective actions to avoid aged accounts. Escalate payment delays or problem‑aged accounts to the supervisor in a timely manner. Participate in meetings, training seminars, and in‑services to develop job knowledge. Respond to emails and telephone messages promptly. Ensure compliance with state and federal regulations for managed care and other third‑party payors. Vaccination and Screening Requirements Conifer requires candidates to obtain and provide confirmation of all required vaccinations and screenings prior to employment, including but not limited to COVID‑19, influenza, and any future required vaccines. Knowledge, Skills, and Abilities Thorough understanding of the revenue cycle, from patient access through billing, appeals, and collections. Intermediate skill in Microsoft Office (Word, Excel). Ability to quickly learn and use hospital systems such as ACE, VI Web, IMaCS, and OnDemand. Excellent verbal and written communication skills. Strong interpersonal skills. Above‑average analytical and critical‑thinking skills. Sound decision‑making ability. Full understanding of commercial, managed care, Medicare, and Medicaid collections and related contracts. Familiarity with terms such as HMO, PPO, IPA, and Capitation and how payors process claims. Intermediate understanding of EOB and hospital billing forms (UB‑04, HCFA 1500). Strong problem‑solving, prioritization, and task completion skills. Education and Experience 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 speed of 45 words per minute. Physical Demands Office/team work environment. Ability to sit and work at a computer terminal for extended periods. Work Environment Call center environment with multiple workstations in close proximity. Compensation and Benefit Information Pay: $15.80 – $23.70 per hour; compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. Benefits Medical, dental, vision, disability, and life insurance. Paid time off (vacation & sick leave) – minimum 12 days per year, accruing at approximately 1.84 hours per 40 hours worked. 401(k) with up to 6% employer match. 10 paid holidays per year. Health savings accounts, healthcare and dependent flexible spending accounts. Employee assistance program, employee discount program. Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long‑term care, elder & childcare, AD&D, auto & home insurance. For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E‑Verify program. Follow the link below for additional information. E‑Verify: #J-18808-Ljbffr