[Remote] Remote-Accounts Receivable Representative (Healthcare)

Note: The job is a remote job and is open to candidates in USA. Conifer Health Solutions is a company that specializes in healthcare services, focusing on enhancing financial and clinical performance. They are seeking a Patient Account Representative responsible for managing patient accounts through the revenue cycle, ensuring timely resolution of claims, and collaborating with various stakeholders to improve collections and account management. Responsibilities • Researches each account using company patient accounting applications and internet resources that are made available. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. Requests additional information from patients, medical records, and other needed documentation upon request from payors. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards • Perform special projects and other duties as needed. Assists with special projects as assigned, documents, findings, and communicates results • Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. Escalates payment delays/ problem aged account timely to Supervisor • Participate and attend meetings, training seminars and in-services to develop job knowledge • Respond timely to emails and telephone messages as appropriate • Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors Skills • Solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment • Ability to effectively follow-up on claim submission, remittance review for insurance collections • Ability to create and pursue disputed balances from both government and non-government entities • Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance • Ability to work independently as well as closely with management and team • Professional demeanor when interacting with insurance plans, patients, physicians, attorneys and team members • Basic computer skills to navigate through various system applications • Ability to access payer websites and discern pertinent data to resolve accounts • Ability to document clear and concise notes in the patient accounting system • Ability to maintain department daily productivity goals while meeting quality standards • Ability to identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies • Ability to provide support for team members that may be absent or backlogged • Thorough understanding of the revenue cycle process, from patient access through Patient Financial Services procedures and policies • Intermediate skill in Microsoft Office (Word, Excel) • Ability to learn hospital systems quickly and fluently • Ability to communicate in a clear and professional manner • Good oral and written skills • Strong interpersonal skills • Above average analytical and critical thinking skills • Ability to make sound decisions • Full understanding of the Commercial, Managed Care, Medicare and Medicaid collections • Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors • Familiarity with terms such as HMO, PPO, IPA and Capitation • Intermediate understanding of EOB • Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms • Ability to problem solve, prioritize duties and follow-through completely with assigned tasks • High School diploma or equivalent • 1-4 years medical claims and/or hospital collections experience • Minimum typing requirement of 45 wpm • Some college coursework in business administration or accounting Benefits • Medical, dental, vision, disability, and life insurance • Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. • 401k with up to 6% employer match • 10 paid holidays per year • Health savings accounts, healthcare & dependent flexible spending accounts • Employee Assistance program, Employee discount program • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. • For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act. Company Overview • Conifer Health Solutions is a healthcare services company helping organizations strengthen their financial performance It was founded in 2008, and is headquartered in Frisco, Texas, USA, with a workforce of 10001+ employees. Its website is Company H1B Sponsorship • Conifer Health Solutions has a track record of offering H1B sponsorships, with 5 in 2025, 3 in 2024. Please note that this does not guarantee sponsorship for this specific role. Apply tot his job