Credit Resolution Representative
Conifer - Saint Ann, MO

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1205010731

Tenet, through its subsidiaries, owns and operates acute care hospitals and numerous related health care services. Our mission is to be recognized for our commitment to our people and partners who provide quality, innovative care to the patients we serve in our communities. It's a spirit you can experience first-hand and it's a philosophy that can enhance your own approach to health care and your career goals.

Description

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At Conifer Health Solutions, we offer the strength and stability of Tenet Healthcare, a Fortune 500 company, with the ingenuity and energy of a healthcare independent. We are a healthcare solutions company born from the healthcare industry. We take care of hospital business, so hospitals can focus on caring for patients. Ready to be part of our solutions? Welcome to a company that gives you the resources and incentives to redefine healthcare services, with the benefits and leadership to take your career to the next step!

JOB SUMMARY

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.

  • Other duties as assigned by Management
  • 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
  • Performs refund and credit analysis, audit and reimbursement functions for all patient credit balance accounts
Qualifications

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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.

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HS Diploma or equivalent, required

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AA degree, preferred

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3-5 years in a Hospital Patient Financial Services department

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.

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Ability to sit and work at a computer terminal for long 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.

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Cheerful, pleasant ,well ventilated ,call center environment with multiple work stations in close proximity.

OTHER

No other requirements

Job

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Refunds and Credits

Primary Location

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MO-St. Ann

Hospital/Facility

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238-Conifer - St. Louis, MO

Job Type*

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Full-time

Shift Type*

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8 Hour Day

Tenet Healthcare - 19 months ago - save job - block
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