• Revisar diariamente los pagos recibidos • Crear y mantener actualizados los estados de cuenta de los clientes • Controlar y revisar las Facturas Electrónicas y Documentos Soporte en el portal de la DIAN • Realizar la conciliación de cuentas por cobrar semanalmente • Evaluar la capacidad de pago de los clientes • Gestionar la cartera vencida de forma continua • Generar informes financieros y de cartera semanal y mensualmente • Coordinar con otros departamentos internos y entidades externas

Role Description The Accounts Receivable Manager (Provider Relations Lead Analyst) is responsible for account receivable activity for a specific Health Care Professional (HCP) Book of Business (for the Mid-West/Mid-America Market) tied to an account management team. They will be a key partner to the experience manager supporting strategic planning to improve provider experience. Ensures timely and accurate claims administration, proactively monitors results, and leverages resources and tools to assist Health Care Professionals in managing their accounts receivables. Provides direction and guidance regarding policies, procedures, workflows, claim service quality, and training needs. Regularly meets with assigned Health Care Professionals to discuss results, review issue trends, and develop action plans for improvement. Engages matrix partners to achieve service improvements and minimize contract interpretation issues. Communicates and educates internally regarding issues/trends to minimize errors and improve claim accuracy. They monitor contractual performance guarantees and LPI to minimize financial impacts. Duties and Responsibilities - Serves as a key member of the account management team responsible for Accounts Receivable Management. - Collaborates with Accounts Receivable Manager and matrix partners to identify, resolve and improve Accounts Receivable issues. - Key contributor to the development of the provider strategic plan for an aligned book of business. - Proactively monitors account receivable, performance guarantees and other accounts receivable related issues and communicates results to Accounts Receivable Manager. - Drives root cause analysis, trending related to accounts receivable resolution. - Interacts directly with provider to understand, educate, communicate and resolve accounts receivable issues. - Participates in face to face meetings with Accounts Receivable Manager as needed to act as an accounts receivable Subject Matter Expert. - Manages accounts receivable issues/corrective action plans. - Works with account management team to proactively make recommendations on changes to improve service levels based upon root cause. - Supports service experience review process for specific book of business as defined by the Service Experience Review strategy. - Contributes to market intelligence, documenting and sharing. - Achieves and or exceeds Service Level Agreements. - Responsible for all pre/post contract set up review for assigned book of business. - Responsible for tracking and trending all accounts receivable related issues timely and accurately in appropriate tools. - Ability to read and understand data results. Qualifications - Bachelor's degree or higher strongly preferred or equivalent work experience required. - 3+ years of experience in benefits and claims administration and/or relationship or project management experience. - Advanced knowledge of Proclaim required with Facets preferred. - Excel experience required (pivot tables/VLOOKUP nice to have). - Experience with provider contracting or loading. - Demonstrated ability to successfully interact with both internal and external customers at all levels. - Demonstrated ability to perform root cause analysis on claims issues. - Demonstrated ability to manage and resolve problems to satisfactory completion. - Project management skills to include time management, task analysis and breakdown and resource utilization. - Strong facilitation and negotiation skills - demonstrated ability to present detailed technical information to a less knowledgeable audience and negotiate resolutions in a mutually beneficial manner to both Cigna and the provider. - Demonstrated ability to see the "big picture" - understand how each phase of the claims payment process affects the end result and provider satisfaction. - Demonstrated ability to handle confrontational situations in a professional manner ending in a better partnership between Cigna and the provider. - Demonstrated ability to take ownership of tasks/projects and perform work under minimal supervision with exceptional outcomes. - Some minimal travel may be required. - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. Benefits - Annual salary of 66,600 - 111,000 USD / yearly, depending on relevant factors, including experience and geographic location. - Eligible to participate in an annual bonus plan. - Comprehensive range of benefits, with a focus on supporting your whole health. - Health-related benefits including medical, vision, dental, and well-being and behavioral health programs starting on day one of employment. - 401(k), company paid life insurance, tuition reimbursement. - A minimum of 18 days of paid time off per year and paid holidays.

Shift: Monday – Friday, 8am – 5pm Department: Financial Clearance Surgery Team - Potential to be remote after the completion of training Compensation: · Base Pay Range: $16.68 - $26.31 per hour, based on experience ABOUT THE JOB MU Health Care is seeking a dynamic Patient Account Representative for Financial Clearance who excels in customer service and meticulous insurance coordination. In this role, you'll ensure a seamless financial process for patients by working closely with insurance providers. Ideal candidates possess strong communication skills, thrive in fast-paced environments, and demonstrate unwavering attention to detail. If you're passionate about healthcare, well-versed in regulatory requirements, and ready to shape the future of patient care, join MU Health Care's team today. ABOUT MU HEALTH CARE MU Health Care is proud to be named one of Forbes’ Best-in-State Employers seven years in a row, and that’s largely a result of the incredible culture and team we’ve built. At MU Health Care, we have an inspired, hard-working and collaborative environment driven by our mission to save and improve lives. Here, we believe anything is possible and rally around solutions. We celebrate innovation and offer opportunities to be a part of something bigger — to have a voice and role in the work that is serving our community and changing the field of medicine. Our academic health system — the only in mid-Missouri — is home to seven hospitals, including the region’s only Level 1 Trauma Center and region’s only Children’s Hospital, as well as over 90 specialty clinics. Here you can define your career among our many clinical and nonclinical positions — with growth, opportunity and support every step of the way Learn more about MU Health Care. Learn more about living in mid-Missouri. EMPLOYEE BENEFITS · Health, vision and dental insurance coverage starting day one · Generous paid leave and paid time off, including nine holidays · Multiple retirement options, including 100% matching up to 8% and full vesting in three years · Tuition assistance for employees (75%) and immediate family members (50%) · Discounts on cell phone plans, rental cars, gyms, hotels and more · See a comprehensive list of benefits here. DETAILED JOB DESCRIPTION Verify insurance eligibility and obtain plan benefits in a timely manner by phone, fax, or payer website. Interpret insurance copays, deductible, network status and subscriber information of policy. Insures all appropriate insurance information is obtained prior to a patient’s visit in order to facilitate payment. May train, as needed, other Service Coordinators and Patient Service Representatives in the clinics on revenue cycle software and/or insurance related issues that may be causing alerts and hold bills. Conduct all activities within established regulatory requirements. Remain knowledgeable of federal, state and payer billing regulations. May complete unit/department specific duties and expectations as outlined in department documents. No face to face patient contact. KNOWLEDGE, SKILLS, AND ABILITIES Effective communication, time management, analytical, and computer skills. REQUIRED QUALIFICATIONS A High School diploma or an equivalent combination of education and experience from which comparable knowledge and abilities can be acquired is necessary. Two years clerical experience; education may be used in lieu of experience. PREFERRED QUALIFICATIONS Experience in patient accounts, medical office, and/or bookkeeping. Additional license/certification requirements as determined by the hiring department PHYSICAL DEMANDS The physical demands described here are representative of those that must be met with or without reasonable accommodation. The performance of these physical demands is an essential function of the job. The employee may be required ambulate, remain in a stationary position and position self to reach and/or move objects above the shoulders and below the knees. The employee may be required to move objects up to 10 lbs. #LI-DNI Equal Employment Opportunity The University of Missouri is an Equal Opportunity Employer.

JOB SUMMARY The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. This candidate should have a solid understanding of the Revenue Cycle as it relates to the entire life of a patient account from creation to payment. Representative will need to effectively follow-up on claim submission, 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. 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 accounts with minimal assistance. Representative must be able to work independently as well as work closely with management and team to take appropriate steps to resolve an account. Team member should possess the following: - Perform duties as assigned in a professional demeanor, which includes interacting with insurance plans, patients, physicians, attorneys and team members as needed. - Basic computer skills to navigate through the various system applications provided for additional resources in determining account actions - Access payer websites and discern pertinent data to resolve accounts - Utilize all available job aids provided for appropriateness in Patient Accounting 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 - Identify and communicate any issues including system access, payor behavior, account work-flow inconsistencies or any other insurance collection opportunities - Provide support for team members that may be absent or backlogged ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others 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 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. - 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. - Participate and attend meetings, training seminars and in-services to develop job knowledge. - Respond timely to emails and telephone messages as appropriate. - Ensures compliance with State and Federal Laws Regulations for Managed Care and other Third Party Payors. 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. 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 - Intermediate skill in Microsoft Office (Word, Excel) - Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently - Ability to communicate in a clear and professional manner - Must have good oral and written skills - 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 - Familiar with terms such as HMO, PPO, IPA and Capitation and how these payors process claims. - Intermediate understanding of EOB. - Intermediate understanding of Hospital billing form requirements (UB04) and familiar with the HCFA 1500 forms. - Ability to problem solve, prioritize duties and follow-through completely with assigned tasks. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. - High School diploma or equivalent. Some college coursework in business administration or accounting preferred - 1-4 years medical claims and/or hospital collections experience - 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/Team Work Environment - Ability to sit and work at a computer terminal 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. - Call Center environment with multiple workstations in close proximity 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: $15.80 - $23.70 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.