Conifer Health Solutions
Physician Services Refunds Representative - Remote
Conifer Health Solutions, Frisco, Texas, United States, 75034
Overview
The primary purpose of the REP, PHYS SVC REFUNDS is to review all credit balances that are created on a patient’s account to determine whether the credit is a true refund, or the appropriate actions needed to remove the credit from the patient’s account within a timely manner from identification and in accordance with CMS rules and regulations, provider contracts and/or Conifer policies. Responsibilities
Examine the credit balances for one or more clients. Run monthly credit balance reports. Research, analyze, and successfully resolve a credit balance to completion. Communicate with insurance companies and occasionally patients. Utilization of insurance websites. Comply with Cash Applications department policies and procedures. Maintain productivity and quality standards set by the Refunds Manager. Meet deadlines set by the department, client contracts and/or Conifer organization. Other duties as assigned. Education / Experience
High School Diploma or General Education Degree (GED) required. Intermediate skill level using Microsoft applications: Word, Excel, Outlook, Teams. EPIC and GE Centricity/IDX/Athena experience helpful. Basic knowledge of government insurances (CMS, Medicare, Medicaid, Tricare). Basic knowledge of national insurances (Blue Cross, UHC, Aetna, Cigna, etc.). Effective oral and written communication skills. Ability to operate effectively as a team member and manage time constraints daily/weekly/monthly. Initiative to learn new tasks and apply acquired knowledge to future duties. Medical Billing/Revenue Cycle experience helpful. Cash Posting experience helpful. Position Competencies
Builds Team Relationships - Invites others to share opinions and collaborates with colleagues. Communicates Effectively - Expresses ideas clearly and tailors writing to the audience. Compliance with Laws, Policies and Procedures - Adheres to policies and Code of Conduct. Develops Self - Seeks opportunities for continuous learning and personal development. Displays Adaptability - Performs well under pressure and in changing conditions. Drives for Results - Delivers high quality work and meets deadlines. Focus on the Customer/Client - Provides a positive client experience and timely responses. Respects Others - Interacts professionally and considerately. Shows Reliability - Takes responsibility and is dependable. Vaccination Requirement
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. Compensation
Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. 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. Equal Employment Opportunity
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.
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The primary purpose of the REP, PHYS SVC REFUNDS is to review all credit balances that are created on a patient’s account to determine whether the credit is a true refund, or the appropriate actions needed to remove the credit from the patient’s account within a timely manner from identification and in accordance with CMS rules and regulations, provider contracts and/or Conifer policies. Responsibilities
Examine the credit balances for one or more clients. Run monthly credit balance reports. Research, analyze, and successfully resolve a credit balance to completion. Communicate with insurance companies and occasionally patients. Utilization of insurance websites. Comply with Cash Applications department policies and procedures. Maintain productivity and quality standards set by the Refunds Manager. Meet deadlines set by the department, client contracts and/or Conifer organization. Other duties as assigned. Education / Experience
High School Diploma or General Education Degree (GED) required. Intermediate skill level using Microsoft applications: Word, Excel, Outlook, Teams. EPIC and GE Centricity/IDX/Athena experience helpful. Basic knowledge of government insurances (CMS, Medicare, Medicaid, Tricare). Basic knowledge of national insurances (Blue Cross, UHC, Aetna, Cigna, etc.). Effective oral and written communication skills. Ability to operate effectively as a team member and manage time constraints daily/weekly/monthly. Initiative to learn new tasks and apply acquired knowledge to future duties. Medical Billing/Revenue Cycle experience helpful. Cash Posting experience helpful. Position Competencies
Builds Team Relationships - Invites others to share opinions and collaborates with colleagues. Communicates Effectively - Expresses ideas clearly and tailors writing to the audience. Compliance with Laws, Policies and Procedures - Adheres to policies and Code of Conduct. Develops Self - Seeks opportunities for continuous learning and personal development. Displays Adaptability - Performs well under pressure and in changing conditions. Drives for Results - Delivers high quality work and meets deadlines. Focus on the Customer/Client - Provides a positive client experience and timely responses. Respects Others - Interacts professionally and considerately. Shows Reliability - Takes responsibility and is dependable. Vaccination Requirement
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. Compensation
Pay: $14.50 - $21.80 per hour. Compensation depends on location, qualifications, and experience. Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Conifer observed holidays receive time and a half. 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. Equal Employment Opportunity
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.
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