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 Service Center Representative III has a wide range of duties in support of departmental efficiencies which may include but are not limited to: performing complex diagnostic and/or surgical procedure scheduling, along with accurately obtaining demographic information, verifying patient insurance, determine eligibility and financial responsibility, obtain pre-procedure collections and when necessary, assist the patient in seeking other means of financial support towards an upcoming visit. (i.e.: help the patient with applying for Medicaid and or Charity Care). The Patient Service Center Representative III may also deliver concierge services to physician offices by building and maintaining a strong relationship with the potential for on-site visits to the physician office.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call:
Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.)
Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts
Complex Pre-Reg: Create a complete pre-registration account for an upcoming inpatient/surgical admission, completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility
Utilize skills built as a PSC REP II to perform higher level department functions:
Full patient financial counseling, education & referrals
Completes all patient liability collection escalations
Potential to work with the physician offices towards building and strengthening relationships between the office and the medical facility. The Rep may be responsible for visiting physician offices in order to execute and participate in relationship building activities.
Other duties as assigned based on departmental needs
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.
Ability to work in a production driven call-center environment
Familiarity with working with dual computer monitors (may be required to use dual monitors)
Must have basic typing ability
Must have working knowledge of Windows based computer environment
Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously
Extensive multitasking ability
Strong written and verbal communication skills
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
Required: High school diploma or GED
Preferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification program
Preferred: 3-4 years of customer service experience
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
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
Hospital Work Environment
Approximately 0% travel may be require
Job: Conifer Health Solutions
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
If Other Shift, Specify: 8:00a-4:30p
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2105005172
About Conifer Health Solutions
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.