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Tenet Healthcare Physician Services AR Representative II in Tinley Park, Illinois

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 II 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 II 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 and possible exposure to multiple practice management systems.

ESSENTIAL DUTIES ANDRESPONSIBILITIES

  • Contactinsurance carriers through website, email or telephone to resolveoutstanding accounts

  • Analyzeand resolve moderately complex insurance denials

  • Appealand/or resubmit unresolved invoices to insurance carriers

  • Researchand respond to insurance correspondence

  • Updateregistration information, post denial codes and adjustments in practicemanagement systems

  • Researchand obtain required documents to resolve misdirected payment issues

  • Mayprovide internal coverage for Customer Service calls

  • Othersmay be assigned.

EDUCATION /EXPERIENCE

  • High school diploma or equivalent

  • 1-2 years of experience inhealthcare collections and/or healthcare related field

  • Previous experience with medicalbilling systems preferred: IDX or Epic experience a plus

  • Knowledge of CPT, ICD-9 and HCPCScodes

  • Understanding of government payersand other commercial/managed care carrier rules and processes in aprofessional billing environment

  • Attention to detail with theability to identify/resolve problems and document the outcome

  • Strong written and verbalcommunication skills

  • Solid analytical and problemsolving skills to recognize trends

  • Ability to multi-task and workindependently

  • Moderate skill with MicrosoftOffice applications: Word, Excel

  • Initiative to learn new tasks andthe ability to apply acquired knowledge to future duties

Job: Conifer Health Solutions

Organization:

Title: Physician Services AR Representative II

Location: IL-Tinley Park

Requisition ID: 2005031410

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