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Job Details
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.
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
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.
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.
Tenet participates in the E-Verify program.
Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
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