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!
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Manage and maintain desk inventory, complete reports, and resolve PIP inventory.
Accurately and thoroughly documents accounts with all findings and work efforts.
Review the account information and necessary system applications to determine the next appropriate work activity.
Contact insurance carriers through website, email or telephone to resolve outstanding accounts.
Research and respond to insurance correspondence.
Verifies insurance, benefits, coverage & eligibility, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures visit notification to insurance companies.
Conducts interviews with patients and/or family members and provides world-class customer service.
Initiate telephone or letter contact to patients to obtain additional information as needed.
Respond timely to emails and telephone messages as appropriate.
Conducts field visits to patient homes.
Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.
Escalate account barriers to leadership.
Performs financial clearance functions including collections.
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.
Working familiarity with the rules and regulations pertaining to Federal, State and County programs.
P/C systems literate including Windows, Microsoft 365, Excel and Word programs.
Ability to work independently.
Excellent oral and written communication skills, ability to present to a group audience and lead a business meeting.
Ability to prioritize and manage multiple tasks with efficiency.
Minimum typing skills of 35 wpm.
Advanced knowledge of PIP requirements.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
High School diploma or equivalent
Miinimum 2 years work experience with insurance or related experiance
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
Hospital Work Environment
Approximately 10% travel may be required
Job: Conifer Health Solutions
Primary Location: Detroit, Michigan
Job Type: Full-time
Shift Type: Days
If Other Shift, Specify: Monday - Friday 9am - 5:30pm
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: 2105017597
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.