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!
Responsible for collecting necessary benefit, authorization and patient estimate liability to properly financial clear upcoming patient visits. This position impacts the Hospitalï¿½s financial bottom line. Reimbursement for services rendered is dependent upon the insurance benefit verification and meeting the authorization requirements of the various insurance payors.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Communicate with insurance companies for the purpose of collecting and documenting information necessary to financially clear patients (eligibility, authorization, benefits, and calculate patient liability calculations).
Coordinates with insurance providers and departments to obtain referrals and pre-authorization, documents these findings into the appropriate system(s).
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 handle high productivity standards, at exceptional quality requirements
Excellent verbal and written communication skills
Proficient data entry and typing skills (40 WPM)
Proficient in the use of general office equipment (computers, fax and copier)
Exceptional problem solving and analytical abilities
Effective communicator able to converse in a professional and intelligible manner regarding Patient Access business
Ability to work within a team setting and be supportive of team members
Ability to multi-task within multiple systems
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
High school education or the equivalent
2 ï¿½ 5 years of administrative experience in medical facility, health insurance verification, or related area preferred
2 ï¿½ 5 years of experience in Customer Service or related call center environment preferred
1 ï¿½ 2 years of prior experience in a call center and hospital patient account billing with experience or knowledge of reimbursements from insurance companies and government payers preferred.
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.
Ability to sit at a computer terminal for extended periods of time
Ability to work extended hours when required.
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.
Call Center environment with headset and multiple work stations within close proximity
Job: Conifer Health Solutions
Primary Location: El Paso, Texas
Job Type: Full-time
Shift Type: Days
If Other Shift, Specify: Monday-Saturday, Rotating
Shift Begin: 7:30 AMShift End: 6:00 PM
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: 1905027143
About Conifer Health Solutions
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.