Job Details

Physician Services AR Representative IV

Company name
TH Medical.

Tinley Park, IL, United States

Employment Type

Healthcare, Accounting

Posted on
Jan 13,2020

Valid Through
Apr 27,2020

Apply for this job


Physician Services AR Representative IV','!*!

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!





primary purpose of the REP, PHYS SVC AR IV team is to pursue reimbursement of

services rendered and achieve accounts receivable resolution.  This team works through open accounts

receivables (denials and delinquent accounts) by actively calling payer

organizations or utilizing web-based connectivity.  Team members manage accounts by utilizing the

IDX Paperless Collection System and Epic follow-up work queues.  



core responsibilities of a REP, PHYS SVC AR IV is to perform collection

follow-up steps with insurance carriers and/or patients regarding open accounts

receivable and/or delinquent accounts to result in maximum cash collections for

our clients.  Specific tasks include

resolving insurance carrier denials, appealing claims, contacting carriers on

open accounts and responding to insurance carrier correspondence and/or

inquiries. This position holds additional duties with respect to research and

analysis, client contact and participation in employee training with possible

exposure to multiple practice management systems




insurance carriers through website, email or telephone to resolve outstanding


and resolve moderately complex insurance denials including coding review to

prevent errors within appeals processAppeal

and/or resubmit unresolved invoices to insurance carriersResearch

and respond to insurance correspondenceUpdate

registration information, post denial codes and adjustments in practice

management systemsAnalyze

weekly denial reports to spot trends; assess opportunities to improve internal

workflows within entire revenue cycleMaintain

internal logs (Excel format) and compile system reportsAssist

in employee training and mentorship; perform quality assurance checks on team


client for missing data elements or confirmation of informationParticipate

in system testing related to upgrades and enhancement.Others

may be assigned.





school diploma or equivalent4-6

years experience in healthcare collections and/or healthcare related fieldPrevious

experience with IDX or Epic medical billing systems preferredKnowledge of CPT, ICD-9

and HCPCS codesFluent knowledge of

entire revenue cycle processSharp intelligence of

government payers and other commercial/managed care carrier rules and

processes in a professional billing environmentAttention to detail

with the ability to identify/resolve problems and document the outcome Extensive

skill with Microsoft Office applications Strong written and

verbal communication skillsExcellent analytical

and problem solving skills Ability

to multi-task and recognize trends to effectively work A/RAbility

to work independently and handle sensitive issues with confidentialityInitiative to learn new

tasks and the ability to apply acquired knowledge to future dutiesFlexibility,

adaptability and accountability are necessary for optimum client results




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. 

Quality, Productivity and Technical

Ability –

Maintains acceptable performance standards set as department goals for the

assigned position.   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



','Conifer Health Solutions','IL-Tinley Park','','','Full-time','Full-time','Days','Days','','','','','','','2005001391','Physician Services AR Representative IV

Company info

TH Medical.
Website :

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