Homeoffice Patient Account Rep II - Full Time , Days na Texas Health Resources

%3Cp style=%22color:rgb(68, 114, 196);font-family:Calibri;font-size:24pt;margin:0in;text-align:center;%22%3E%3Cstrong%3EPatient Account Rep II%3C/strong%3E%3C/p%3E%3Cp style=%22font-family:Calibri;font-size:12pt;margin-bottom:8pt;margin-top:0pt;text-align:center;%22%3E%3Cstrong%3EPatient Account Rep II- Full Time, Days%3C/strong%3E%3C/p%3E%3Cp style=%22color:rgb(68, 114, 196);font-family:Calibri;font-size:12pt;margin-bottom:8pt;margin-top:0pt;text-align:center;%22%3E%3Cspan style=%22background-color:white;%22%3E%3Ci%3EBring your passion to Texas Health so we are Better + Together%3C/i%3E%3C/span%3E%3C/p%3E%3Cp style=%22font-family:Calibri;font-size:12.0pt;margin-bottom:8pt;margin-top:0pt;%22%3E%3Cstrong%3E%26nbsp;%3C/strong%3E%3C/p%3E%3Cp style=%22font-family:Calibri;font-size:12.0pt;margin:0in;%22%3E%3Cstrong%3EWork location: Remote Position: %26nbsp;%3C/strong%3ETexas Health Resources: 612 E. Lamar Blvd Arlington, Texas 76011%3C/p%3E%3Cp style=%22font-family:Calibri;font-size:12.0pt;margin:0in;%22%3E%3Cstrong%3EWork hours: %3C/strong%3EFull Time (40 Hour) Day Shift ; Monday - Friday%26nbsp;%3C/p%3E%3Cp style=%22font-family:Calibri;font-size:12.0pt;margin-bottom:8pt;margin-top:0pt;%22%3E%26nbsp;%3C/p%3E%3Cp style=%22font-family:Calibri;font-size:12.0pt;margin-bottom:8pt;margin-top:0pt;%22%3E%3Cstrong%3EDepartment Highlights:%3C/strong%3E%3C/p%3E%3Cul style=%22direction:ltr;margin-bottom:0in;margin-top:0in;unicode-bidi:embed;%22 type=%22disc%22%3E%3Cli style=%22margin-bottom:0;margin-top:0;vertical-align:middle;%22%3E%3Cspan style=%22font-family:Calibri;font-size:12.0pt;%22%3ETeam based environment%3C/span%3E%3C/li%3E%3Cli style=%22margin-bottom:0;margin-top:0;vertical-align:middle;%22%3E%3Cspan style=%22font-family:Calibri;font-size:12.0pt;%22%3EWorkplace culture 2%3Csup%3End%3C/sup%3E to none%3C/span%3E%3C/li%3E%3Cli style=%22margin-bottom:0;margin-top:0;vertical-align:middle;%22%3E%3Cspan style=%22font-family:Calibri;font-size:12.0pt;%22%3EWe operate on Lean principles and rely heavily on a team atmosphere and individual performance%3C/span%3E%3C/li%3E%3Cli style=%22margin-bottom:0;margin-top:0;vertical-align:middle;%22%3E%3Cspan style=%22font-family:Calibri;font-size:12.0pt;%22%3EHighly engaged management%3C/span%3E%3C/li%3E%3Cli%3E%3Cp class=%22MsoNormal%22%3EEPIC/Care connection experience is a bonus but not required.%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3Eif monthly CBO goal is meet than %24400 bonus is given to those employees who qualify.%3Co:p%3E%3C/o:p%3E%3C/p%3E%3C/li%3E%3C/ul%3E%3Cp style=%22font-family:Calibri;font-size:12.0pt;margin-bottom:8pt;margin-top:0pt;%22%3E%26nbsp;%3C/p%3E%3Cp%3E%3Cstrong%3EWhat You Will Do:%26nbsp;%3C/strong%3E%3C/p%3E%3Cp%3EReceivables Management ?�� Collections%3Cbr%3EVerify validity of account balances by researching, reviewing, and ensuring accuracy of payment and adjustment posting.%3Cbr%3ETakes initiative to resolve accounts with and without supervision.%3Cbr%3EContact payors, networks, patients, employers, and other responsible parties to acquire timely and accurate/expected payment on assigned Accounts Receivable inventory.%3Cbr%3ETake necessary steps needed to acquire and provide information needed for claims that have a zero payment.%3Cbr%3EUse payor-specific contract terms to resolve claims that are in process or have a payment variance.%3Cbr%3ERefer claims that have a clinical denial to the Denials team for review and follow-up.%3Cbr%3EPrepare appeal letters to dispute payor denials when appropriate%3Cbr%3EProcess %26amp;/or request rebills and other system actions, as needed.%3Cbr%3EUnderstand and apply appropriate system discounts.%3Cbr%3EEnter all communications regarding patient accounts in the host system.%3Cbr%3EAccounts should be worked daily, with an emphasis on quality and resolution.%3Cbr%3EWorklists should be stratified to ensure high dollar and/or aged accounts are the top priority, with the overall goal of resolving assigned inventory each week.%3Cbr%3EWorks toward department goals and visions as an individual and as a team player.%3Cbr%3EMeet, and maintain, quality and productivity performance metrics set forth by applicable leadership%3Cbr%3EMaintain proficiency in the host system%3Cbr%3E%3Cbr%3EReceivables Management related to Financial Assistance PAR II?��s%3Cbr%3EReview financial assistance application for completion prior to processing. Determines if application is complete. If incomplete, requests additional documents from consumer by phone, mail, or email following HIPAA privacy guidelines.%3Cbr%3EDocuments, receipt of application in system and creates a Case in Financial Assistance Module. Uses appropriate activity code in Epic to ensure productivity is accurate.%26nbsp;%3Cbr%3EReview incoming applications received by mail, email or MyChart, to determine if all the required information was submitted. If incomplete, requests additional documents from consumer by phone, mail, or email following federal HIPAA regulations%3Cbr%3EProcesses accounts timely, according to age, and consumer request. Uses appropriate activity code in Epic to ensure productivity is accurate%3Cbr%3EPrepare and mails all approval/denial letters. Prepares documents for scanning, removes non-essential information from packets to protect consumers financial information.%3Cbr%3E50%%3Cbr%3EFocus on Service%3Cbr%3EProvide excellent service when dealing with payors, patients, employers, management, hospital staff and other parties within and outside of THR.%3Cbr%3ECommunication should be clear, concise, and professional.%3Cbr%3ERequests should be addressed timely, with the goal of completion within 3 days to avoid delinquency.%3Cbr%3ERequests deemed as %22escalated%22 should receive immediate attention.%3Cbr%3E20%%3Cbr%3EPayor Issues%3Cbr%3EIdentify and resolve problems related to payor contracts and reimbursement in a timely manner.%3Cbr%3EInform Business Operations Supervisor, Manager and/or Payor Champion of any potential trends that might delay accurate payment (via appropriate mechanism - spreadsheet, email, etc...)%3Cbr%3ERecommend accounts for placement with an outside collection/legal vendor when appropriate resolution is not obtained timely.%3Cbr%3E20%%3Cbr%3ECompliance%3Cbr%3ECompliance with THR policies and procedures.%3Cbr%3EComplies with all applicable regulations with the operating systems, entity, and system policies and procedures.%3Cbr%3EComplete assigned tasks in a timely and effective manner.%3Cbr%3EMaintain up-to-date knowledge of local, state, and federal guidelines for communication and collections.%3Cbr%3E10%%3C/p%3E%3Cp%3E%3Cstrong%3EWhat You Need:%26nbsp;%3C/strong%3E%3C/p%3E%3Cp%3EEducation%3Cbr%3EH.S. Diploma or Equivalent Req%3C/p%3E%3Cp%3EExperience%3Cbr%3E2 Years Healthcare Revenue Cycle Accounts Receivable Experience, healthcare or related organization. Req%3Cbr%3E%26nbsp;%3C/p%3E
%3Cb%3EEducation%3C/b%3E%3C/br%3EH.S. Diploma or Equivalent Req%3C/br%3E%3C/br%3E%3Cb%3EExperience%3C/b%3E%3C/br%3E2 Years Healthcare Revenue Cycle Accounts Receivable Experience, healthcare or related organization. Req%3C/br%3E%3C/br%3E%3Cb%3ESkills%3C/b%3E%3C/br%3E Computer skills required in advanced word processing, spreadsheets, and graphic skills.%3Cbr/%3E Ability to organize and coordinate workflow as well as meeting deadlines.%3Cbr/%3E Must possess excellent communication, problem solving documentation, training and customer service skills. %3Cbr/%3E Must be familiar with organizing, managing workflow and ability to absorb and retain details. %3Cbr/%3E General knowledge of medical and insurance terminology required.%3Cbr/%3E Experience in Epic preferred%3Cbr/%3E%3C/br%3E%3C/br%3E%3Cb%3ESupervision%3C/b%3E%3C/br%3EIndividual Contributor%3C/br%3E%3C/br%3E%3Cb%3EADA Requirements%3C/b%3E%3C/br%3EExtreme Heat 1-33%%3Cbr/%3EExtreme Cold 1-33%%3Cbr/%3EExtreme Swings in Temperature 1-33%%3Cbr/%3EExtreme Noise 1-33%%3Cbr/%3EWorking Outdoors 1-33%%3Cbr/%3EWorking Indoors 67% or more%3Cbr/%3EMechanical Hazards 34-66%%3Cbr/%3EElectrical Hazards 1-33%%3Cbr/%3EExplosive Hazards 1-33%%3Cbr/%3EFume/Odor Hazards 1-33%%3Cbr/%3EDust/Mites Hazards 1-33%%3Cbr/%3EChemical Hazards 1-33%%3Cbr/%3EToxic Waste Hazards 1-33%%3Cbr/%3ERadiation Hazards 34-66%%3Cbr/%3EWet Hazards 1-33%%3Cbr/%3EHeights 1-33%%3Cbr/%3EOther Conditions 1-33%%3C/br%3E%3C/br%3E%3Cb%3EPhysical Demands%3C/b%3E%3C/br%3ESedentary%3C/br%3E Candidatar-se agora