Job type full-time
Full job description
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 nationwideWe help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcareConifer health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcareAre 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!
Responsible for providing direct support to ar/disputes operations team, client, conifer one team, and subcontracted external legal resources engaged in the collection and recovery of complex underpaid claims.
Essential duties and responsibilities
Include the followingOthers may be assigned.
In depth knowledge of applicable contractsEnsure compliance with state and federal laws and regulationsMaintains a thorough understanding of health insurance and government programs, where necessary.
Acts as liaison between the business office, legal department, client and outside counsel regarding outstanding litigations
Is a trusted advisor to internal and external customers
Prepare agenda and assist with facilitation of client calls (weekly)
Prepares dispute packages for assignment to law firms per client instructions
Hold status update calls (bi-weekly/monthly) with law firms for assignment updates and inventory disposition
Works required reports (daily, weekly, monthly) to ensure legal payer issues are referred in a timely manner
Comfortable reviewing large data setsMust possess ability to utilize data inferences to come up with process optimization and prioritization of tasks
Identify process improvement opportunities and assist with implementation
If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures, and applicable lawsSupervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
NoDirect reports: patient acct reps, sr patient acct reps, lead patient acct reps, and patient acct supervisors
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 employmentThis may include, but is not limited to, the covid-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
Knowledge, skills, abilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorilyThe requirements listed below are representative of the knowledge, skill and/or ability requiredReasonable 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)
Ability to provide advanced customer service
Ability to multi-task
Strong time management and organizational skills
Ability to research and work independently
Ability to communicate in a professional manner
Good written and verbal communication skills
Strong interpersonal skills
Strong technical skills, including pc and ms office suite knowledge
Education / experience
Include minimum education, technical training, and/or experience preferred to perform the job.
High school diploma or equivalent
Associate/bachelor degree preferred
Advanced excel skills is a plus
5+ years’ experience in medical billing, collections, appeals, legal department and/or contract interpretation
Job: conifer health solutions primary location: frisco, texas job type: full-time shift type: days
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 statusTenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.