As a part of the Tenet and Catholic Health Initiativesfamily, Conifer Health brings 30 years of healthcare industry expertise toclients in more than 135 local regions nationwide. We help our clientsstrengthen their financial and clinical performance, serve their communitiesand succeed at the business of healthcare. Conifer Health helps organizationstransition from volume to value-based care, enhance the consumer and patienthealthcare experience and improve quality, cost and access to healthcare. Areyou ready to be part of our solutions? Welcome to the company that gives you the resources and incentives toredefine healthcare services, with a competitive benefits package andleadership to take your career to the next step!
Responsiblefor duties in support of departmental efficiencies which may include: but notlimited to performing scheduling, registration, patient pre-admission andadmission, reception and discharge functions. Must obtain complete and accuratepatient demographic information. PatientAccess representatives also must employ proper, compliant patient liabilitycollection 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.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individualmust be able to perform each essential duty satisfactorily. The requirementslisted below are representative of the knowledge, skill and/or abilityrequired. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions.
Minimumtyping skills of 35 wpm
Demonstratedworking knowledge of PC/CRT/printer
Knowledgeof function and relationships within a hospital environment preferred
Customerservice skills and experience
Abilityto work in a fast paced environment
Abilityto receive and express detailed information through oral and writtencommunications
Coursein Medical Terminology required
Understandingof Third Party Payor requirements preferred
Understandingof Compliance standards preferred
Mustbe able to perform essential job duties in at least two Patient Access serviceareas including ED.
Usesproper negotiation techniques to professionally collect money owed by ourPatients/Guarantors.
Buildsand maintains collaborative relationships with both internal and externalClients that lead to more effective communication and a higher level ofproductivity and accuracy.
Mustbe able to appropriately interpret physician orders, medical terminology andinsurance cards while maintaining Conifer Standards of Care.
EDUCATION / EXPERIENCE
Include minimum education, technical training,and/or experience preferred to perform the job.
HighSchool Diploma or GED required
0â 1 year in a Customer Service role.
0â 1 year administrative experience in medical facility, health insurance, orrelated area preferred
Somecollege coursework is preferred
The physical demands described here arerepresentative of those that must be met by an employee to successfully performthe essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Mustbe able to sit at computer terminal for extended periods of time
Occasionallylift/carry items weighing up to 25 lbs.
Frequentprolonged standing, sitting, and walking
Occasionallypush a wheelchair to assist patients with mobility problems.
The work environment characteristics describedhere are representative of those an employee encounters while performing theessential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Canwork in patient care locations which include potential exposure tolife-threatening patient conditions.
Mustbe available to work hours and days as needed based on departmental/systemdemands.
ResolvesPhysician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
Job: Patient Access
Primary Location: Dallas, Texas
Job Type: Full-time
Shift Type: Nights
Employment practices will not be influenced or affected by an applicantâs or employeeâs 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.