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 information - 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) - Access payer websites and discern pertinent data to resolve accounts - Utilize all available job aids provided for appropriateness in follow-up processes - Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account - Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership - Skilled 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 opportunities - 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 - Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. - 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 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. - 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 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 required to perform the job. - High school diploma or equivalent education - 2-5 years experience in Medical/Hospital Insurance related collections - Minimum typing requirement of 45 wpm 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. - Office/Teamwork Environment - Ability to sit and work at a computer 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. 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: $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.

AR Collections Specialist - Mental Health & SUD Focused *Must reside in the Eastern (ET) or Central Time (CT) Zone   Hours: 8:00am to 5:00pm ET Pay ranges $21 to $23/hour Advanced Recovery Systems is an integrated behavioral healthcare management company dedicated to the treatment of addiction, substance abuse, and mental health issues.  We put behavioral health front and center, providing assistance to people with substance abuse issues, addictions and mental health concerns.   With facilities in various regions of the U.S., we have been furthering this mission since our inception, applying our advanced approach to patient care.   Every facility in the Advanced Recovery Systems network strives to provide the highest quality of care, using evidence-based therapeutic models that really work. Our goal is to help men and women live healthy, happy lives without the burden of substance abuse or mental illness. Benefits include:  - Health, Vision, Dental, Employer-Matched 401(k) - STD, LTD, and Employer-Paid Term Life Policy - Employer Matched HSA – up to $1500 a year company contribution - Employee Wellness Program – reduce employee premiums $40/mo - Free MDLive telehealth benefit - Paid Time Off - Vacation /Personal /Holiday/Sick - Employee Referral Bonus  The AR Specialist will be required to complete Audits, Compiles and Create Claims for submission. Responds timely to address up front and backend rejections, working each claim billed until payment is received or deemed uncollectable. CORE JOB DUTIES: - Ability to work virtually in a remote capacity, adhering to set working schedule with periodic contact with management throughout the day via phone or via teams. - Daily auditing of active and non-active clients to ensure proper program, authorization, diagnosis, and revenue elements have been captured. - Communicating with department and hospital staff to address any issues related to billing and the accuracy of charge capture, insurance, authorization and billing. - Addressing all rejected claims, merging, editing and ensuring proper filing is done in accordance with ARS’ billing rules. - Ensuring all worklists assigned by management are up to date and compliant in terms of productivity and accuracy. - Updating EMR and patient accounts when required, and opening IT tickets to address any issues that may cause delay in billing. - Following up post submission for any third-party billing to ensure claim(s) are on file and set to pay. - Resolving claims issues in which the payer has rejected the claim; by filing corrective claims, filing claim level appeals, providing additional information to the payer to support the claim, or advancing the claim(s) to the next level – UR appeal and/or Management. - Documenting actions throughout the claim life cycle by entering notes within Avatar, Waystar, and BB Tech (Tool Kit). - Identify claim rejection and denial trends, and bringing those trends to the attention of management. - Attend AR meeting as needed and conducted by your management team. - Apply standard improvement processes, follow-through (PDCA); Plan, Do, Check and Action. - Maintain strict confidentiality, adhere to Part2 regulations and HIPAA guidelines. - Follow all state regulations and adhere to all company policies and procedures. - Other duties as assigned.

Title: Accounts Receivable Specialist Location: ThedaCare Corporate Job Description: Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare. Benefits, with a whole-person approach to wellness – - Lifestyle Engagement - e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support - Access & Affordability - e.g. minimal or zero copays, team member cost sharing premiums, daycare About ThedaCare! Summary : The Accounts Receivable Specialist is responsible for submitting accurate billing to appropriate payers and actively following up on claims to ensure timely adjudication and reimbursement. This role communicates directly with commercial, governmental, and other third-party payers, as well as patients, guarantors, family members, and internal medical staff, to resolve claim issues and manage accounts receivable efficiently. The specialist identifies and resolves denials, underpayments, payment delays, and no-response claims while ensuring compliance with payer requirements and regulatory standards. Job Description: KEY ACCOUNTABLITIES: - Reviews, analyzes, and processes billed claims for accuracy upon submission, including charges, subscriber data, diagnosis and procedure codes, late charges, and supporting documentation. - Submits claims in a timely manner in accordance with payer contracts, federal and state regulations, departmental standards, and form requirements. - Follows up directly with commercial, governmental, and other payers via phone, correspondence, and electronic systems to resolve unpaid, underpaid, denied, or rejected claims. - Identifies specific reasons for denials, underpayments, and payment delays; takes appropriate corrective action to secure reimbursement. - Prepares, drafts, and submits technical and clinical appeals as needed, ensuring accurate and complete documentation. - Re-bills accounts when new or corrected demographic, insurance, or third-party information is received and updates patient records accordingly. - Verifies insurance, payer, and patient demographic information for accuracy at registration and during account follow-up, entering verification data into billing systems as required. - Reviews internal and external reports to monitor claim status, payment variances, denial trends, and outstanding accounts. - Maintains thorough documentation of all account activity, including payer contacts, phone numbers, correspondence, and actions taken, within the host system and/or tracking tools. - Maintains a working knowledge of payer-specific requirements, contracts, and applicable federal and state regulations, applying them appropriately to account resolution. - Identifies trends and root causes of accounts receivable issues and communicates findings and recommendations to management. - Demonstrates initiative, effective problem-solving and analytical skills with the ability to determine appropriate collection strategies to resolve accounts. - Ability to meet productivity and quality standards. QUALIFICATIONS - One year previous experience in Revenue Cycle/Medical billing, follow up and collections or related degree/certification in Healthcare Management. - Proficiency in basic computer applications, including Microsoft Excel. - High School diploma or GED preferred. - Strong verbal and written communication skills. - Must be at least 18 years of age. PHYSICAL DEMANDS: - Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance - Job classification is not exposed to blood borne pathogens (blood or bodily fluids) while performing job duties WORK ENVIORNMENT - Climate controlled office setting with daily movement throughout the facility - Interaction with department members and other healthcare providers - Work schedule is remote, hybrid or in office. Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location: ThedaCare Corporate Office - Neenah,Wisconsin Overtime Exempt: No Worker Shift Details: Days

Utilize research and payment reconciliation skills to address claim overpayments, resolve insurance refund requests, and manage misdirected payments, contributing to efficient financial operations within the healthcare sector.