Description

JOB SUMMARY

Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs or insurance exchange. Responsible for identifying all sources of potential payors including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc. to route account appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

Conducts interviews with patients and/or family members.Performs financial clearance function including, but not limited to, negotiating and collecting point of service payments (i.e. co-pays, deductibles, self-pay compact rates) or link to government programs and financial assistance.Records and maintains complete documentation of activities performed on account while in-house.Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.Other duties as assigned.

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 programsP/C systems literate including, but not limited to, Windows, Microsoft Outlook, Excel and Word programsAbility to work independentlyExcellent oral and written communication skills, as well as the clear understanding of the English languageDetail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platformsAbility to prioritize and manage multiple tasks with efficiencyAbility to negotiate point of service paymentBi-lingual preferred (Spanish)

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

High School diploma or equivalentMinimum 1 to 2 years work experience with Hospital Admitting or as a Payer, Hospital business office, or related areas.

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.

Ability to sit and work at a computer terminal for extended periods of timeMust be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedsideAbility to travel

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.

Both Hospital and Office facilities, in direct contact with Patients and Staff

OTHER

Must be able to travel

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!

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