$72,509–$108,763 Per Year
Accounting Certifications, Accounts Receivable, Accounts Receivable Management, Business Administration, Call Centers, Cash Flow, Certified Public Accountant (CPA), Coaching, Communication Skills, Computer Terminals, Computer Workstations, Customer Support/Service, Disciplinary Action, Federal Laws and Regulations, Financial Operations, Financial Services, Government, HIPAA (Health Insurance Portability and Accountability Act), Health Insurance, Healthcare, Healthcare Administration, Identify Issues, Incentive Programs, Insurance, Interpersonal Skills, Leadership, Maintain Compliance, Managed Care, Medical Billing, Medicare, Microsoft Excel, Microsoft Office, Microsoft Word, Multitasking, Needs Assessment, Organizational Skills, Outpatient Care, Patient Care, People Management, Physical Demands, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Quality Management, Quality Metrics, Regulations, Regulatory Compliance, Reimbursement, Sales Management, State Laws and Regulations, Team Building, Team Lead/Manager, Training/Teaching, Trend Analysis, Vaccination, Writing Skills
Job Summary
JOB SUMMARY
Responsible for managing patient account staff in processing accounts and working with designated payors to ensure proper reimbursement.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
- Ensures compliance with state and federal laws and regulations.
- Maintains a thorough understanding of health insurance and government programs, where necessary.
- Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
- Monitors collection processes to determine cash flow improvement opportunities.
- Manages the aging of accounts receivable by trending and analyzing the A/R, and through communication with the payors.
- Works with A/R supervisors to identify department training needs for system education, industry updates and changes in collection processes and protocols.
- Works with A/R Supervisors and staff to ensure that employee productivity and quality meets standards.
- Manages desk assignments to meet employee productivity and collection efforts across all client facilities.
SUPERVISORY RESPONSIBILITIES
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
- No. Direct Reports (incl, titles) - Patient Acct Reps, Sr Patient Acct Reps, Lead Patient Acct Reps, and Patient Acct Supervisors, Plan Specialists
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.
- Advanced knowledge of healthcare A/R
- Excellent working knowledge of Patient Financial Services operations with specific focus on Inpatient and Outpatient Managed Care and Commercial payors (i.e., Medicare regulations and compliance; HIPAA)
- Proficient in Microsoft Office (Word and Excel)
- Advanced writing skills
- Ability to provide advanced customer service
- Ability to plan and implement process improvements
- Ability to train and coach staff
- Ability to multi-task
- Strong leadership and organizational skills
- Proficient in building a strong team to meet performance goals
- Very good written and verbal communication skills
- Strong interpersonal skills
- Strong technical skills, including PC and MS Office Suite knowledge
- 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.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
- 4 year college degree in Healthcare Administration, Business or related area or equivalent experience. MBA/CPA preferred
- 5 - 10 years experience in Healthcare Administration or Business Office
- 2 - 3 years supervisory experience
CERTIFICATES, LICENSES, REGISTRATIONS
- HFMA-Patient Accounts or Hospital Accounting Certification encouraged
PHYSICAL DEMANDS
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 extended periods of time
WORK ENVIRONMENT
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.
- Call Center environment with multiple workstations in close proximity
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!
Compensation and Benefit Information
Compensation
- Pay: $72,509.00 - $108,763.00 annually. Compensation depends on location, qualifications, and experience.
- Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
- Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
Conifer offers the following benefits, subject to employment status:
- Medical, dental, vision, disability, life, and business travel insurance
- Management time off (vacation & sick leave) - min of 12 days per year, accrued 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.
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.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
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Tenet Healthcare Corp
Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.
Since 2003, Tenet's Commitment to Quality has improved the quality of medical care and patient safety at its hospitals and other businesses by evaluating processes and promoting best practices. As the world in which Tenet operates continues to change, Tenet's Commitment to Quality will remain focused on quality, the growing quality gap relative to top performers in the industry, and the fact that payers and employees use quality as a distinguishing factor. Visit the Quality Care page for more information.
Tenet has taken the lead in addressing the needs of the uninsured through its Compact With Uninsured Patients. Established in 2003, the Compact focuses on treating patients without insurance fairly and with respect during and after their treatment, regardless of their ability to pay. Tenet also is committed to working with its patients through financial counseling and alternative payment options.