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Hours Full-time, Part-time
Location mount sterling, Kentucky

About this job

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 700 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, 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 PRN "On Call" Patient Access Reps.

This position requires that you be able to work any shift including Nights, Weekends and Holidays.

JOB SUMMARY

Responsible for duties in support of departmental efficiencies which may include: but not limited to performing registration, patient pre-admission and admission, reception and discharge functions. Must obtain complete and accurate patient demographic information. Patient Access representatives also must employ proper, compliant patient liability collection techniques before, during & after date of service.

Principal Duties and Responsibilities

Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial and cash control policies and procedures, thoroughly explains and secures Hospital and 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

Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during and after date of service, performs Hospital cash reconciliation and secured payment entry in adherence to financial and cash control policies and procedures.

Secures medical necessity checks/verification in accordance to Centers for Medicare and Medicaid services, verifies insurance, benefits, coverage and eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled and unscheduled Hospital services, and secures inpatient visit notification to payors.

KNOWLEDGE, SKILLS, ABILITIES

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 able to perform essential job duties in at least 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.

Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.

EDUCATION / EXPERIENCE

High School Diploma or GED required

0 -- 1 year in a Customer Service role.

0 -- 1 year administrative experience in medical facility, health insurance, or related area preferred

Some college coursework is preferred

MWW