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TH Medical

Credit Resolution Representative - Frisco, Texas

TH Medical - Frisco, TX

Credit Resolution Representative - Frisco, Texas

in

Frisco

Texas

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!

JOBSUMMARY

Responsibilities include

the compliant review and analysis of credit balance accounts to determine cause

of credit balance and resolution of same.

In addition, the Credit Resolution representative is responsible for

thorough and accurate follow up and communication with facilities, management,

Insurance companies and patients.

ESSENTIALDUTIES AND RESPONSIBILITIES

include the following. Other duties maybe assigned.

Performsrefund and credit analysis, audit and reimbursement functions for all patientcredit balance accounts

Responsiblefor the review, preparation and submission of the Credit Balances QuarterlyReport

Responsiblefor follow up on credit balance accounts

Respondsto patient inquiries and Insurance phone calls regarding account balances andrefunds

Handlecorrespondence received from payors requesting refunds

Reportson root causes of Credit Balances to management

Interactswith facilities to resolve accounts

Otherduties as assigned by Management

KNOWLEDGE,SKILLS, ABILITIES

Toperform this job successfully, an individual must be able to perform eachessential duty satisfactorily. Therequirements listed below are representative of the knowledge, skill and/orability required. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.

Intermediateunderstanding of Hospital Billing requirements (Universal Billing form)

Intermediateunderstanding of Medicare regulations preferred

Intermediateunderstanding of Microsoft Office

Intermediateto ability to handle large volume with excellent quality

Intermediateoral and written skills, required

EDUCATION/ EXPERIENCE

Includeminimum education, technical training, and/or experience required to performthe job.

HSDiploma or equivalent, required

AAdegree, preferred

3-5years in a Hospital Patient Financial Services department

PHYSICALDEMANDS

Thephysical demands described here are representative of those that must be met byan employee to successfully perform the essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.

Abilityto sit and work at a computer terminal for long periods of time.

WORKENVIRONMENT

Thework environment characteristics described here are representative of those anemployee encounters while performing the essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.

Cheerful,pleasant, well ventilated, call center environment with multiple work stationsin close proximity.

OTHER

Norequirements

Job:

Conifer Health Solutions

Organization:

Title:

Credit Resolution Representative - Frisco, Texas

Location:

TX-Frisco

Requisition ID:

1705044189

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9 days 2 hours ago

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Credit Resolution Representative - Frisco, Texas TH Medical - Frisco, TX, United States

   

Location: Frisco, TX

Company Profile:
At Tenet Healthcare, we’ve had a longstanding commitment to serving our patients, our employees, our physicians and our partners. Today, we’re one of the nation’s leading healthcare services companies, with a comprehensive network that extends from coast to coast: