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Physician Services AR Representative II

Company: Tenet
Location: Tinley Park
Posted on: July 31, 2019

Job Description:

As a part of the Tenet andCatholic Health Initiatives family, Conifer Health brings 30 years ofhealthcare industry expertise to clients in more than 135 local regionsnationwide. We help our clients strengthen their financial and clinicalperformance, serve their communities and succeed at the business of healthcare.Conifer Health helps organizations transition from volume to value-based care,enhance the consumer and patient healthcare experience and improve quality,cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you theresources and incentives to redefine healthcare services, with a competitivebenefits package and leadership to take your career to the next step! JOB SUMMARY The primary purpose of theREP, PHYS SVC AR II team is to pursue reimbursement of services rendered andachieve accounts receivable resolution. This team works through open accounts receivables (denials and delinquentaccounts) by actively calling payer organizations or utilizing web-basedconnectivity. Team members manageaccounts by utilizing the IDX Paperless Collection System and Epic follow-upwork queues. The core responsibilities of aREP, PHYS SVC AR II is to perform collection follow-up steps with insurancecarriers and/or patients regarding open accounts receivable and/or delinquentaccounts to result in maximum cash collections for our clients. Specific tasks include resolving insurancecarrier denials, appealing claims, contacting carriers on open accounts andresponding to insurance carrier correspondence and/or inquiries. This positionholds additional duties with respect to research and possible exposure tomultiple practice management systems. ESSENTIAL DUTIES ANDRESPONSIBILITIES

  • Contact insurance carriers through website, email or telephone to resolve outstanding accounts
  • Analyze and resolve moderately complex insurance denials
  • Appeal and/or resubmit unresolved invoices to insurance carriers
  • Research and respond to insurance correspondence
  • Update registration information, post denial codes and adjustments in practice management systems
  • Research and obtain required documents to resolve misdirected payment issues
  • May provide internal coverage for Customer Service calls
  • Others may be assigned.


    Qualifications:
    EDUCATION /EXPERIENCE
  • High school diploma or equivalent
  • 1-2 years of experience in healthcare collections and/or healthcare related field
  • Previous experience with medical billing systems preferred: IDX or Epic experience a plus
  • Knowledge of CPT, ICD-9 and HCPCS codes
  • Understanding of government payers and other commercial/managed care carrier rules and processes in a professional billing environment
  • Attention to detail with the ability to identify/resolve problems and document the outcome
  • Strong written and verbal communication skills
  • Solid analytical and problem solving skills to recognize trends
  • Ability to multi-task and work independently
  • Moderate skill with Microsoft Office applications: Word, Excel
  • Initiative to learn new tasks and the ability to apply acquired knowledge to future duties
    Job: Conifer Health SolutionsPrimary Location: Tinley Park, IllinoisJob Type: Full-timeShift Type: Days

Keywords: Tenet, Tinley Park , Physician Services AR Representative II, Healthcare , Tinley Park, Illinois

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