Description

JOB SUMMARY

The Patient Service Center Representative III has a wide range of duties in support of departmental efficiencies which may include but are not limited to: performing complex diagnostic and/or surgical procedure scheduling, along with accurately obtaining demographic information, verifying patient insurance, determine eligibility and financial responsibility, obtain pre-procedure collections and when necessary, assist the patient in seeking other means of financial support towards an upcoming visit. (i.e.: help the patient with applying for Medicaid and or Charity Care). The Patient Service Center Representative III may also deliver concierge services to physician offices by building and maintaining a strong relationship with the potential for on-site visits to the physician office.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call: Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.) Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection effortsComplex Pre-Reg: Create a complete pre-registration account for an upcoming inpatient/surgical admission, completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facilityUtilize skills built as a PSC REP II to perform higher level department functions: Full patient financial counseling, education & referralsCompletes all patient liability collection escalationsPotential to work with the physician offices towards building and strengthening relationships between the office and the medical facility. The Rep may be responsible for visiting physician offices in order to execute and participate in relationship building activities.Other duties as assigned based on departmental needs

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 work in a production driven call-center environmentFamiliarity with working with dual computer monitors (may be required to use dual monitors)Must have basic typing abilityMust have working knowledge of Windows based computer environmentAbility to multitask in multiple systems (financial clearance and scheduling) simultaneouslyExtensive multitasking abilityStrong written and verbal communication skills

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 preferred to perform the job.

Required: High school diploma or GEDPreferred: Two plus years of college (two years in a professional, customer service-driven environment may substitute for two years of college), completion of related medical certification programPreferred: Telephone/call center experiencePreferred: Pre-registration and/or scheduling experiencePreferred: 3-4 years of customer service experience

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 work in sitting position, use computer and answer telephoneAbility 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.

Office Work EnvironmentHospital Work Environment

TRAVEL

Approximately 0% travel may be required

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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