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PRN PA Rep II - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | flagstaff, Arizona |
About this job
At Conifer Health Solutions, we offer the strength and stability of Tenet Healthcare, a Fortune 500 company, with the ingenuity and energy of a healthcare independent. We are a healthcare solutions company born from the healthcare industry. We take care of hospital business, so hospitals can focus on caring for patients. Ready to be part of our solutions? Welcome to a company that gives you the resources and incentives to redefine healthcare services, with the benefits and leadership to take your career to the next step!
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management , patient communication s, and value-based care solutions, we empower healthcare decision makers---hospitals, health systems, physicians, self-insured employers, and payers---to better connect every point of care and wellness management. 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!
Conifer Health Solutions is currently hiring for a Patient Access Rep II
JOB SUMMARY
Responsible for greeting customers and providing assistance with Registration and Bed Control. Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities, privacy practices and patient bill of rights. Ensures that pre-certification and/or authorization are obtained, patient liabilities are collected, and appropriate bed assignments are made.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments. Perform required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed.
Utilize all technology appropriately and in accordance with regulations, compliance and performance standards.
Notify patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction. Notifies patients of co-payments, deductibles or deposits needed and collects the liability, when applicable, documenting all information in computer system.
Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
Answers telephone calls. Follows pre-established script and provide assistance to callers.
Responsible for the monitoring of daily activity and completion of performance reports as assigned.
May perform Scheduling with Supervisory oversight.
May assist with PBX and Bed Management.
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 crossed trained in 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.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
High School Diploma or equivalent
1-2 years 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
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
MWW
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management , patient communication s, and value-based care solutions, we empower healthcare decision makers---hospitals, health systems, physicians, self-insured employers, and payers---to better connect every point of care and wellness management. 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!
Conifer Health Solutions is currently hiring for a Patient Access Rep II
JOB SUMMARY
Responsible for greeting customers and providing assistance with Registration and Bed Control. Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities, privacy practices and patient bill of rights. Ensures that pre-certification and/or authorization are obtained, patient liabilities are collected, and appropriate bed assignments are made.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments. Perform required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed.
Utilize all technology appropriately and in accordance with regulations, compliance and performance standards.
Notify patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction. Notifies patients of co-payments, deductibles or deposits needed and collects the liability, when applicable, documenting all information in computer system.
Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.
Answers telephone calls. Follows pre-established script and provide assistance to callers.
Responsible for the monitoring of daily activity and completion of performance reports as assigned.
May perform Scheduling with Supervisory oversight.
May assist with PBX and Bed Management.
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 crossed trained in 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.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
High School Diploma or equivalent
1-2 years 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
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
MWW
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