AR Collections Representative (Full Time) - Alegent Creighton Health Business Office, Omaha, NE at Omaha

Description

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience and drive value-based performance. Through our revenue cycle management, patient communications, and value-based solutions, we empower healthcare decision makers-hospitals, health systems, physicians, self-insured employers and payers-to better connect every point of care and wellness management. Are you ready to be a 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!

Conifer Health Solutions is currently hiring for an AR Collections Representative on a full time basis.

General Summary

Process the billing of Commercial claims, maintaining no more than one business day backlog in billing (electronic and paper).

The incumbent reports directly to Billing/Cash Posting Manager, Physician Receivables, Financial Services Department.

The incumbent works as a team member of the Billing/Collections area with specific responsibilities given. In addition, the incumbent will need to develop good working relationships with third party payers and staff at various clinics. Most importantly, it is imperative to present to our patients that servicing their account(s) is the primary goal

Principal Duties and Responsibilities

• Resolves problem accounts independently using sound judgment and following established policies and procedures.
• Organize workload to meet deadlines by processing claims in an accurate and timely manner, meeting established productivity goals.
• Keep abreast on regulatory changes affecting Alegent Health. Maintain current knowledge of State Insurance Commission Regulations and Managed Care payment requirements.
• Always remaining professional in attitude and presentation to our patients/customers.
• Contributes to a cohesiveness department through teamwork, cooperation and positive behavior.
• Complies with departmental policies and procedures.
• Billing of accounts in a timely manner utilizing the SMS and Premis systems to insure all 3rd party payers responsible for this account have been billed.
• Approaches the job with enthusiasm and optimism regardless of immediate difficulties or a changing environment. Demonstrates support for the organization and organizational mission and direction in attitude, word and deed.
• Performs other duties and special projects that might be assigned by the Lead of Billing.
• Participates in all safety, security and infection control programs that are mandatory as well as those required and provided by the department.
• Demonstrates work practices consistent with Alegent Health and department-specific safety, security and infection control policies.
• Works with all payer representatives in a confidential and discrete manner in order to ensure the confidentiality of all financial and medical information.
• Identifies any billing problems, which cause payment delays and communicates these issues to the Lead, Third Party Billing and Special Billing.
• Must have ability to work effectively and collaboratively in a diverse and multi-cultural environment.

DISCLOSURE STATEMENT

The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

Qualifications

Minimum Knowledge, Skills, and Abilities Required

Experience

• A knowledge of third party payer regulations is preferred.
• One year as a successful claims billing clerk is preferred.
• Hospital claims billing experience and other medical experience will also be acceptable.
• Experience in computer usage and familiarization with billing/collection systems is desirable.

Education/Licensure

• High School Graduate preferred

Knowledge/Skills/Abilities

• Must have ability to adapt to new and or changing environments, have good communication skills, present themselves well to our patients and exhibit empathy, compassion while remaining professionally persistent in the liquidation of the balance due.

Working Conditions

• Must have ability to adapt to new and or changing environments, have good communication skills, present themselves well to our patients and exhibit empathy, compassion while remaining professionally persistent in the liquidation of the balance due.

Country: USA, State: Nebraska, City: Omaha, Company: Conifer Health Solution.