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 Services Center Representative is responsible for creating a positive patient experience by accurately and efficiently handling the day to day operations relating to financial clearance activities. Responsible for collecting required patient demographic and financial data elements and creating a complete registered account for scheduled visits. Additionally, the Patient Services Center Representative is responsible for verifying patient insurance, and confirming benefits eligibility, as well as assisting other team members where necessary.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Completes the pre-certification process by obtaining authorization from insurer and/or healthcare facility
Verify demographic information and update systems when necessary
Verify patient insurance information and liability from the insurer
May perform a portion or complete the full patient financial clearance process; including educating patients on liability and collection of patient liabilities due
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 preferred
Understanding of Third Party Payor requirements preferred
Understanding of Compliance standards preferred
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 preferred to perform the job.
- 0-1 years of experience in a customer service skills with basic typing ability and working knowledge of a Windows based computer environment
- 0-1 years of experience in a call center environment or similar customer service experience preferred
- High school diploma or GED required
Include minimum certification required to perform the job.
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 5% travel may be required
Conifer Health Solutions