Patient Account Sr Representative

We need to output HTML fragment with sections: About the role? The posting includes Job Summary, Essential Duties and Responsibilities, Knowledge, Skills, Abilities, Education/Experience, Physical Demands, Work Environment, Compensation, Benefits, etc. We must use

for section headings (e.g., About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Use

• for any list of duties/requirements/benefits, and

  for prose. Do NOT repeat job title as heading. Do NOT put Job ID/requisition numbers as headings. Remove boilerplate, navigation, legal, EEO, equal-opportunity, scam-warning, duplicated lines, application instructions. Preserve all substantive info; do not invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g., "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones. Thus we need to decide which sections to include: Likely we can have sections: Responsibilities (Essential Duties and Responsibilities), Requirements (Knowledge, Skills, Abilities + Education/Experience), Benefits, Pay. Possibly also "About the role" could be derived from Job Summary. The instruction says use

  for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose appropriate headings based on content. We need to output only HTML fragment, no /, no markdown fences. We must not include duplicated lines. We need to extract substantive content. Let's parse the posting: Job Summary: "The Accounts Receivable Senior Representative is responsible for all aspects of follow-up activity, to include taking appropriate steps to resolve accounts timely. This candidate should have an increased knowledge of the Revenue Cycle as it relates to the entire life of a patient account from creation to expected payment. Representative will need to effectively follow-up on claim submission and; remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. Basic knowledge of Commercial, Managed Care, Medicare and Medicaid insurance is preferable. . Participate and assist in special projects as well as provide A/R support to the team. Assist new or existing staff with training or techniques to increase production and quality as well as provide A/R support for the team members that may be absent or backlogged. An effective revenue cycle process is achieved with working as part of a dynamic team and the ability to adapt and grow in an environment where work assignments may change frequently while resolving more complex accounts with minimal or no assistance. Senior Representative Must Have The Ability To Work Closely With Management And Team Members Working An Inventory Of Collectible Accounts That Bring In Revenue And Possess The The Following Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related informationBasic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients)Access payer websites and discern pertinent data to resolve accountsUtilize all available job aids provided for appropriateness in follow-up processesDocument clear and concise notes in the patient accounting system regarding claim status and any actions taken on an accountMaintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadershipSkilled in working with complex medical claim issues Identify and communicate any issues including system access, payor behavior, account/work-flow inconsistencies or any other insurance collection opportunitiesCompile data to substantiate and utilize to resolve payer, system or escalated account issues Assist new or existing staff with training or techniques to increase production and qualityProvide support for team members that may be absent or backlogged" That's a lot of repeated content. We need to extract unique duties. Essential Duties and Responsibilities list: - Researches each account using company patient accounting applications and internet resources that are made available. - Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. - Problem solves issues and creates resolution that will bring in revenue eliminating re-work. - Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and and solves re-coup issues. - Requests additional information from patients, medical records, and other needed documentation upon request from payors. - Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. - Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. - Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. - Perform special projects and other duties as needed. - Assists with special projects as assigned, documents findings, and communicates results to leaders. - Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. - Escalates payment delays/ problem aged account timely to Supervisor. - Compile data to substantiate and utilize to resolve payer, system or escalated account issues. - Assist new or existing staff with training or techniques to increase production and quality as needed. - Participate and attend meetings, training seminars and in-services to develop job knowledge. Knowledge, Skills, Abilities: - Thorough understanding of the revenue cycle process, from patient access (authorization, admissions) through Patient Financial Services (billing, insurance appeals, collections) procedures and policies - Good written and verbal communication skills - Intermediate technical skills including PC and MS Outlook - Strong interpersonal skills - Above average analytical and critical thinking skills - Ability to make sound decisions - Has a full understanding of the Commercial, Managed Care, Medicare and Medicaid collections, Intermediate knowledge of Managed Care contracts, Contract Language and Federal and State requirements for government payors - Advanced knowledge of UB-04 and Explanation of Benefits (EOB) interpretation - Intermediate knowledge of CPT and ICD-9 codes - Advanced knowledge of insurance billing, collections and insurance terminology Education / Experience: - High school diploma or equivalent education - 2-5 years experience in Medical/Hospital Insurance related collections - Minimum typing requirement of 45 wpm Physical Demands: - Office/Teamwork Environment - Ability to sit and work at a computer for extended periods of time Work Environment: - 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: - Pay: $17.20 - $25.70 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: - Conifer offers the following benefits, subject to employment status: 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. Also there is EEO statement etc which we must remove. We need to avoid duplication. Also we should not include headings with filler like "Schedule" if not present. There's no schedule info. So we omit Schedule. We need to decide sections: Perhaps "About the role" from Job Summary (but we need to avoid duplication with Responsibilities). Could combine Job Summary into About the role paragraph. Then Responsibilities as list. Then Requirements (or Qualifications) as list combining Knowledge, Skills, Abilities and Education/Experience. Then Benefits as list. Then Pay as paragraph. We must not repeat job title as heading. So we won't have heading "Accounts Receivable Senior Representative". Use headings like About the role, Responsibilities, Requirements, Benefits, Pay. We need to ensure we don't include filler like "commensurate with experience". Not present. We need to remove duplicated lines: For example, "Assist new or existing staff with training or techniques to increase production and quality" appears multiple times; we should include only once in responsibilities list. Also "Compile data to substantiate and utilize to resolve payer, system or escalated account issues." appears multiple times; include once. We need to preserve all substantive information; but we can deduplicate. Let's extract unique responsibilities: From Essential Duties list: 1. Researches each account using company patient accounting applications and internet resources that are made available. 2. Conducts appropriate account activity on uncollected account balances with contacting third party payors and/or patients via phone, e-mail, or online. 3. Problem solves issues and creates resolution that will bring in revenue eliminating re-work. 4. Updates plan IDs, adjusts patient or payor demographic/insurance information, notates account in detail, identifies payor issues and trends and solves re-coup issues. 5. Requests additional information from patients, medical records, and other needed documentation upon request from payors. 6. Reviews contracts and identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed. 7. Takes appropriate action to bring about account resolution timely or opens a dispute record to have the account further researched and substantiated for continued collection. 8. Maintains desk inventory to remain current without backlog while achieving productivity and quality standards. 9. Perform special projects and other duties as needed. 10. Assists with special projects as assigned, documents findings, and communicates results to leaders. 11. Recognizes potential delays and trends with payors such as corrective actions and responds to avoid A/R aging. 12. Escalates payment delays/ problem aged account timely to Supervisor. 13. Compile data to substantiate and utilize to resolve payer, system or escalated account issues. 14. Assist new or existing staff with training or techniques to increase production and quality as needed. 15. Participate and attend meetings, training seminars and in-services to develop job knowledge. Also from Job Summary we have some additional points: "Conduct telephone calls utilizing a professional demeanor when contacting payors and/or patients in order to obtain collection related information" (similar to #2). "Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions (may work in multiple systems for clients)" (similar to #1 maybe). "Access payer websites and discern pertinent data to resolve accounts" (similar). "Utilize all available job aids provided for appropriateness in follow-up processes" (maybe part of #1). "Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account" (similar to #4). "Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership" (similar to #8). "Skilled in working with complex medical claim issues