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We re Hiring! Immediate Openings Available at MercyOne

  • Job ID 2005036181
  • Date posted 10/23/2020
  • Facility Conifer Health Solutions
Description:

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

Responsible for duties in support of departmental efficiencies

which may include: but not limited to performing scheduling,

registration, patient pre-admission and admission, reception

and discharge functions. Must obtain complete and

accurate patient demographic information. Patient Access

representatives also must employ proper, compliant patient

liability collection techniques before, during & after date of

service.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

- Greeting customers following Conifer Standards of Care,

provides world-class customer service, completes full

patient registration at date of service, adheres to financial

& cash control policies & procedures, thoroughly explains

and secures Hospital & patient legal forms (i.e., Advance

Directives, Conditions of services, Consent for treatment,

Important Message from Medicare, EMTALA, etc.). Scan

Protected Health Information, create and file patient

information packets/folders for upcoming Hospital services.

May also assist with scheduling diagnostic procedures

(enters data in scheduling system, provide customer with

appointment instructions, other tasks as needed).

- Educates patients about patient financial liabilities, employs

proper, compliant patient liability collection techniques

before, during & after date of service, performs Hospital

cash reconciliation & secured payment entry in adherence to

financial & cash control policies & procedures.

- Secures medical necessity checks/verification in

accordance to Centers for Medicare & Medicaid services,

verifies insurance, benefits, coverage & eligibility, completes

assigned registration financial clearance work lists

activities, obtains insurance authorizations for scheduled &

unscheduled Hospital services, and secures inpatient visit

notification to payors. May also assist with scheduling and

coordinating post discharge care for patients.





Qualifications:

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.

- Minimum typing skills of 35 wpm

- Demonstrated working knowledge of PC/CRT/printer

- Knowledge of function and relationships within a hospital

environment preferred

- Customer service skills and experience

- Ability to work in a fast paced environment

- Ability to receive and express detailed information through

oral and written communications

- Course in Medical Terminology required

- Understanding of Third Party Payor requirements preferred

- Understanding of Compliance standards preferred

- Must be able to perform essential job duties in at least two

Patient Access service areas including ED.

- Uses proper negotiation techniques to professionally collect

money owed by our Patients/Guarantors.

- Builds and maintains collaborative relationships with both

internal and external Clients that lead to more effective

communication and a higher level of productivity and

accuracy.

- Must be able to appropriately interpret physician orders,

medical terminology and insurance cards while maintaining

Conifer Standards of Care.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or

experience preferred to perform the job.

- High School Diploma or GED required

- 0 1 year in a Customer Service role.

- 0 1 year administrative experience in medical facility,

health insurance, or related area preferred

- Some college coursework is preferred

PHYSICAL DEMANDS

The physical demands described here are representative

of those that must be met by an employee to successfully

perform the essential functions of this job. Reasonable

accommodations may be made to enable individuals with

disabilities to perform the essential functions.

- Must be able to sit at computer terminal for extended

periods of time

- Occasionally lift/carry items weighing up to 25 lbs.

- Frequent prolonged standing, sitting, and walking

- Occasionally push a wheelchair to assist patients with

mobility problems.

WORK ENVIRONMENT

The work environment characteristics described here are

representative of those an employee encounters while

performing the essential functions of this job. Reasonable

accommodations may be made to enable individuals with

disabilities to perform the essential functions.

- Hospital administration

- Can work in patient care locations which include potential

exposure to life-threatening patient conditions.

OTHER

- Must be available to work hours and days as needed based

on departmental/system demands.

- Resolves Physician's office and Patient issues. May

experience extreme patient volumes and uncooperative

Patients.


Job: Patient Access
Primary Location: Des Moines, Iowa
Job Type: Full-time
Shift Type: Days