Submission for the position: Credit Resolution Representative - Remote - (Job Number: 2005035560)
https://tenet.taleo.net/careersection/jobdetail.ftl?job=2005035560&lang=en
Credit Resolution Representative - Remote
2005035560
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
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
• Reports on root causes of Credit Balances to management
• 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
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 requirements
Conifer Health Solutions
Location(s): TX-Dallas