Patient Services Center Representative II','!*!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!
The Patient Services Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day to day operations relating to financial clearance activities. This includes adherence to the department’s policies and procedures related to the verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties. The Representative will work under the guidance of the Financial Clearance Supervisor and will be responsible for timely escalating financial clearance issues to the Supervisor or above leadership.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Verify medical benefits and eligibility with payors and calculate patient liability collection amounts
Completes the whole patient financial clearance process; including educating patients on liability and collection of patient liabilities due
Completes all acount documentation and enters the correct activity code when required
Secures insurance authorizations for services and updates account accordingly
Performs payment reconciliation & secured payment entry in adherence to financial & cash control policies and procedures ','!*!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
Ability to work in multiple systems, support multiple facilities, and if appplicable support other financial clearance teams
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 required
Understanding of Compliance standards required
Must be able to perform essential job duties with at least two Patient Service Center teams
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.
2 years of experience in a customer service skills with basic typing ability and working knowledge of a Windows based computer environment
2 years of experience in a call center environment or similar customer service experience preferred
High school diploma or GED required
Some college coursework is preferred
Include minimum certification required to perform the job.
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 work in sitting position, use computer and answer telephone
Ability to travel
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
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.
Office Work Environment
Approximately 5% travel may be required
OTHER','Patient Access','TX-San Antonio','','','Full-time','Full-time','Days','Days','','','','','','','1805006161','Patient Services Center Representative II
Website : http://www.tenethealth.com
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