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!
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 RESPONSIBILITIESinclude 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
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.
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.
Primary Location: Bedford, New Hampshire
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2005040199
About Conifer Health Solutions
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.