Physician Services Charge Entry Representative - Remote

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!

JOB SUMMARY

The REP, PHY SVC CHARGE ENTRY team is responsible for posting charges and demographic information into the Conifer Health Solutions billing system in order to create invoices for billing. The core responsibilities of a REP, PHY SVC CHARGE ENTRY are to accurately and efficiently enter charges based on encounter forms received from multiple physician practices and hospitals. This position requires knowledge of invoice creation and completion. It also requires multiple systems knowledge and analysis. As a REP, PHY SVC CHARGE ENTRY, you are responsible for working edits and interface which requires knowledge of the utility and TES.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Prepare and sort source documents; identify and interpret data to be entered (For example: co-pay sheets, charge sheets, demographic information, insurance information)
• Enter alphabetic, numeric or symbolic data such as CPT codes, Diagnostic codes, date of service, name and date of birth of patient, and payment information into the computer, following the format displayed on screen.
• Compile, sort and verify accuracy of data to be entered.
• Verify patient information (For example: date of birth, address, insurance information, and guarantor).
• Confirm that necessary forms are accompanying payment information (For example: charge-offs, discount sheets).
• Contact senior-level REP, PHY SVC CHARGE ENTRY Clerk to resolve questions, inconsistencies or missing data.
• Work regularly with various systems/software, work files and documentation to cross-map and test processes or troubleshoot issues.
• Track user errors and provide feedback to Managers in a professional manner.
• Provide guidance, instruction or orientation to other (Level 1) team members and ensure that the necessary training and/or corrections are taking place.
• Cooperate and communicate with other teams, such as: IT/Programmers, Client Executives, Client Implementations and Client Site Managers.
• Meet deadlines and perform other projects as assigned by managers.

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

• High School Diploma or General Education Degree (GED) required
• 1-2 years’ experience in Insurance/Healthcare and/or previous Data Entry responsibilities
• Strong data entry skills; ability to input a high volume of information
• Attention to detail – ability to maintain speed while upholding accuracy
• Ability to perform analysis and make recommendations. (For example: selecting, combining or rearranging data to arrive at a logical conclusion. Or, sorting data or creating a chart to reveal facts about the data)
• Strong written and verbal communication skills
• Skilled in Microsoft Office: Word and Excel
• Experienced using various billing software such as IDX, ADS, TES, BAR
• Knowledgeable regarding Interface, REG RUNS, Utilities, work files, edits, return tickets, and charge corrections

POSITION COMPETENCIES:

• Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members.
• Communicates Effectively – Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker’s message without interruption. Tailors writing to audience using correct grammar and spelling.
• Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines.
• Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development.
• Displays Adaptability – Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles.
• Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations.
• Focus on the Customer/Client – Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients.
• Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner.
• Shows Reliability – Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully.

Compensation and Benefit Information

Compensation

• Pay: $13.40-$20.00 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.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.