Remote-Patient Account Representative

Job Summary

The Patient Account Representative is responsible for working patient accounts to ensure they are resolved in a timely manner. The 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. The Representative will need to effectively follow up on claim submissions, review remittances for insurance collections, and 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 by working as part of a dynamic team and by adapting to an environment where work assignments may change frequently while resolving accounts with minimal assistance.

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.

• Research each account using company patient accounting applications and available internet resources. Conduct appropriate account activity on uncollected balances, contacting third‑party payors and/or patients via phone, e‑mail, or online. Problem‑solve issues and create resolutions that bring in revenue while eliminating re‑work.
• Update plan IDs, adjust patient or payor demographic/insurance information, notate account details, identify payor issues and trends, and resolve re‑couple issues.
• Request additional information from patients, medical records, and other needed documentation upon request from payors.
• Review contracts, identify billing or coding issues, and request re‑bills, secondary billing, or corrected bills as needed.
• Take appropriate action to bring about account resolution in a timely manner or open a dispute record for further research and substantiation for continued collection.
• Maintain desk inventory to remain current without backlog while achieving productivity and quality standards.
• Perform special projects and other duties as needed. Assist with special projects, document findings, and communicate results.
• Recognize potential delays and trends with payors such as corrective actions and respond to avoid A/R aging. Escalate payment delays/issues to Supervisor in a timely manner.
• Participate in meetings, training seminars, and in‑services to develop job knowledge.
• Respond timely to emails and telephone messages as appropriate.
• Ensure compliance with State and Federal Laws, Regulations for Managed Care and other Third‑Party Payors.

• Thorough understanding of the revenue cycle process from patient access to financial services (billing, insurance appeals, collections).
• Intermediate skill in Microsoft Office (Word, Excel).
• Ability to learn hospital systems – ACE, VI Web, IMaCS, OnDemand quickly and fluently.
• Clear and professional communication, both oral and written.
• Strong interpersonal, analytical, and critical thinking skills.
• Decision‑making ability.
• Full understanding of Commercial, Managed Care, Medicare, and Medicaid collections; intermediate knowledge of Managed Care contracts and federal/state requirements for government payors.
• Familiarity with HMO, PPO, IPA, Capitation, and how these payors process claims.
• Intermediate understanding of EOB, hospital billing form requirements (UB‑04), and HCFA 1500 forms.
• Ability to problem‑solve, prioritize duties, and follow through completely with assigned tasks.

• High School diploma or equivalent. Some college coursework in business administration or accounting preferred.
• 1–4 years of medical claims and/or hospital collections experience.
• Minimum typing requirement of 45 words per minute.

• Office/Team work environment.
• Ability to sit and work at a computer terminal for extended periods of time.

• Call Center environment with multiple workstations in close proximity.

• Pay:…