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Accounts Receivable Manager

Accounts ReceivableAccounts ReceivableOtherRemoteLeadTeam 10,001+Since 1982H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

88 days ago

Salary

$66.6K - $111K / year

Seniority

Lead

Job Description

Accounts Receivable Manager

The Cigna Group

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.

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University of Missouri Health Care logo

Patient Account Representative - Financial Clearance Surgery Team

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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.

Full TimeRemoteTeam 5,001-10,000

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.

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Job Closed
Conifer Health Solutions logo

AR Follow Up Representative - Remote

Conifer Health Solutions

Founded in 2008, Conifer Health Solutions is an independent healthcare services company that specializes in managed services for health systems. Conifer Health

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. 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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. 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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. 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Tenet Healthcare Corporation logo

Patient Account Representative - Contract - Remote

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We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. Today, we are a leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top-notch medical specialists and service lines that are tailored within each community we serve. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Careers at Tenet At Tenet Healthcare, the heart of what we do centers on caring with compassion, which ultimately creates a bond between our caregivers and patients. Everyone contributes to these moments, whether providing care directly or supporting those who do. As an organization, we provide employees with resources, tools and support to serve our patients and customers in the best way possible. We also take care of one another, helping team members further develop their career pathways and maximize their potential.

Full TimeRemoteTeam 10,001

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. 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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. 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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! 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iBynd logo

AP/AR Analyst

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• The AR/AP Analyst is responsible for overseeing the full cycle of accounts receivable and accounts payable. • Ensure that all revenue is collected efficiently and all obligations are paid accurately and on time. • Analyze financial data to improve cash flow, manage vendor and customer relationships, and support month-end closing activities. • Manage the customer credit process, including reviewing credit applications and setting credit limits. • Generate and distribute accurate invoices and credit memos. • Monitor the Accounts Receivable Aging Report and lead collection efforts for past-due accounts. • Execute the Three-Way Match process (Purchase Order, Receipt, Invoice) to ensure payment accuracy. • Review and process employee expense reports in compliance with company policy. • Research and resolve invoice discrepancies or billing disputes with vendors. • Prepare cash flow forecasts to assist leadership in liquidity planning. • Identify trends in delinquent accounts and suggest process improvements. • Assist in month-end and year-end closing by preparing journal entries and account reconciliations. • Provide necessary documentation and support for internal and external audits. • Close daily interaction with the COO to ensure performance and platform optimization. • Ensure accurate recording of commissions and premium taxes. • Assist with any state-specific regulatory filings and premium reporting requirements. • Support any Tax related needs from our outside accounting firm. • Work with our COO on Payroll and Sales compensation calculations and processing.

United States
Job Closed