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Physician Services AR Representative III

Company: Conifer Health Solutions
Location: Tinley Park
Posted on: February 7, 2019

Job Description:

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, 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 the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! JOB SUMMARY The primary purpose of the REP, PHYS SVC AR III team is to pursue reimbursement of services rendered and achieve accounts receivable resolution. This team works through open accounts receivables (denials and delinquent accounts) by actively calling payer organizations or utilizing web-based connectivity. Team members manage accounts by utilizing the IDX Paperless Collection System and Epic follow-up work queues. The core responsibilities of a REP, PHYS SVC AR III is to perform collection follow-up steps with insurance carriers and/or patients regarding open accounts receivable and/or delinquent accounts to result in maximum cash collections for our clients. Specific tasks include resolving insurance carrier denials, appealing claims, contacting carriers on open accounts and responding to insurance carrier correspondence and/or inquiries. This position holds additional duties with respect to research, client contact and participation in employee training with possible exposure to multiple practice management systems. ESSENTIAL DUTIES AND RESPONSIBILITIES Contact insurance carriers through website, email or telephone to resolve outstanding accounts Analyze and resolve moderately complex insurance denials including coding review to prevent errors within appeals process 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 Analyze weekly denial reports to spot trends; assess opportunities to improve internal workflows Maintain internal logs (Excel format) Assist in employee training and mentorship Contact client for missing data elements or confirmation of information Others may be assigned. Qualifications: EDUCATION / EXPERIENCE High school diploma or equivalent 2-4 years of experience in healthcare collections and/or healthcare related field Previous experience with IDX or Epic medical billing systems preferred Knowledge of CPT, ICD-9 and HCPCS codes Sharp intelligence 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 Excellent analytical and problem solving skills Ability to multi-task and recognize trends to effectively work A/R Solid skill with Microsoft Office applications: Word, Excel Initiative to learn new tasks and the ability to apply acquired knowledge to future duties Flexibility, adaptability and accountability are necessary for optimum client results Job: Conifer Health Solutions Primary Location: Tinley Park, Illinois Job Type: Full-time Shift Type: Days 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.PandoLogic.Category: Finance, Keywords: Accounts Payable or Receivable Specialist

Keywords: Conifer Health Solutions, Tinley Park , Physician Services AR Representative III, Sales , Tinley Park, Illinois

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