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6,002 nursing jobs and nurse industry jobs - June 29, 2017
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 Lead Patient Account Representative - Des Moines, Iowa    
 Job Number tenetnurse0313_396    
 Job Type
 Job Category Nursing
 Company Tenet Healthcare Corporation-Nursing & Therapy
 Location Des Moines, IA
 Salary Competitive
 Date Posted 06/27/2017
 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 Patient Account Lead Representative

 

JOB SUMMARY

 

Responsible for providing assistance, coaching and training to staff members, including new hires.  They support and assist the Team, the Supervisor and Management with complex inventory and issue resolution.  Responsible for all aspects of the billing, follow up and collection activity for payers that are Supplemental to Medicare.  May maintain a large dollar inventory desk or complex accounts as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged.  May assist in special projects as assigned my management, including acting as a point of contact for internal operational questions.

 

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

 

Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites.  May maintain a large dollar inventory desk as well as serve as just-in-time staffing, working inventory for team members that may be absent or backlogged.  Effectively resolve complex or aged inventory, including payment research, payment recoups with minimal or no assistance necessary.  Accurately and thoroughly document the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity.  Verify claims adjudication utilizing appropriate resources and applications. Initiate telephone or letter contact to patients to obtain additional information as needed.  Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers.  Edit claims to meet and satisfy billing compliance guidelines for electronic submission.  Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.  Proactively identify issues or trending and provide suggestions for resolution. 

 

Provide assistance, coaching and training to staff members, including new hires.  Provide enhanced training and assist staff with techniques to increase production, quality and collections.  Participate in the new hire peer interviewing process.  Assist in special projects assigned by management.

 

Participate and attend meetings, training seminars and in-services to develop job knowledge.  Attend various conference calls, webinars or advanced training to provide assistance to the team members.  Respond timely to emails and telephone messages from the staff, management and the client.  Effectively communicate issues to management, including payer, system or escalated account issues as well as develop solutions

 

FINANCIAL RESPONSIBILITY (specify Revenue/Budget/Expense):          $2.5 million R&D Budget



Qualifications:

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.

 

Very good written and verbal communication skills

Strong interpersonal skills

Advanced technical skills including PC and MS Outlook

Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation

Advanced knowledge of CPT and ICD-9 codes

Advanced knowledge of insurance billing, collections and insurance terminology

 

EDUCATION / EXPERIENCE

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

 

High school diploma or equivalent education

3-6 years experience in Medical/Hospital Insurance related collections

 

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.

 

 

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.

 

Office/Team Work Environment

 

OTHER


MWW

Job:   Collections
Primary Location:   Des Moines, IA, Iowa
Job Type:   Full-time
Shift Type:   Days

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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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