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6,003 nursing jobs and nurse industry jobs - June 26, 2017
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 Credit Resolution Representative - Tacoma, Washington    
 Job Number tenetnurse0313_2794    
 Job Type
 Job Category Nursing
 Company Tenet Healthcare Corporation-Nursing & Therapy
 Location Tacoma, WA
 Salary Competitive
 Date Posted 06/12/2017
 Start Date Immediately
 Travel
*** View all Tenet Healthcare Corporation-Nursing & Therapy jobs ***


 Job Description

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-based care solutions, we empower healthcare decision makers—hospitals, health systems, physicians, self-insured employers, and payers—to better connect every point of care and wellness management.  Are you ready to be part of our solutions?  Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

 

Conifer Health Solutions is currently hiring for a Credit Resolution Representative

 

JOB SUMMARY

 

  • Responsibilities include the compliant review and analysis of credit balance accounts to determine cause of credit balance and resolution of same. 
  • In addition, the Credit Resolution representative is responsible for thorough and accurate follow up and communication with facilities, management, Insurance companies and patients.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

 

Performs refund and credit analysis, audit and reimbursement functions for all patient credit balance accounts

 

  • Responsible for the review, preparation and submission of the Credit Balances Quarterly Report.
  • Responsible for follow up on credit balance accounts
  • Responds to patient inquiries and Insurance phone calls regarding account balances and refunds.
  • Handle correspondence received from payors requesting refunds
  • Interacts with facilities to resolve accounts
  • Other duties as assigned by Management

 

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

  • Intermediate understanding of Hospital Billing requirements (Universal Billing form)
  • Intermediate understanding of Medicare regulations preferred
  • Intermediate understanding of Microsoft Office
  • Intermediate to ability to handle large volume with excellent quality
  • Intermediate oral and written skills, required



Qualifications:

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

 

  • HS Diploma or equivalent, required
  • AA degree, preferred
  • 3-5 years in a Hospital Patient Financial Services department

 

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

  • Ability to sit and work at a computer terminal for long periods of time.

 

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

  • Cheerful, pleasant, well ventilated, call center environment with multiple work stations in close proximity.

 

OTHER

 

  • No other requirements

Job:   Billing
Primary Location:   Tacoma, Washington
Hospital Location:   Conifer - Tacoma, WA
Job Type:   Full-time
Shift Type:   8 Hour Day
Shift Begin:   0.3125 Shift End:   0.666666666666667

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 Contact Info/How To Apply
  Please mention that you heard about this job on RxCareer Center when applying.  
   
   Login To Apply   Click Here To Login  
 Contact Name   Human Resources
 Web Address   https://jobs.tenethealth.com/job/-/ ...


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