What are the responsibilities and job description for the Patient Access Rep II - Rotating Shifts, San Ramon Medical Center position at Conifer Health Solutions?

Job Description

SHIFT : ER Rotating Shifts. Must be available to work all shifts (Days, Evenings, Nights and Weekends)

JOB SUMMARY

Responsible for duties in support of departmental efficiencies which may include : but not limited to performing scheduling, 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.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

Greeting customers following Conifer Standards of Care, provides world-class customer service, completes full patient registration at date of service, adheres to financial & cash control policies & procedures, thoroughly explains and secures Hospital & 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. May also assist with scheduling diagnostic procedures (enters data in scheduling system, provide customer with appointment instructions, other tasks as needed).
Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during & after date of service, performs Hospital cash reconciliation & secured payment entry in adherence to financial & cash control policies & procedures.
Secures medical necessity checks / verification in accordance to Centers for Medicare & Medicaid services, verifies insurance, benefits, coverage & eligibility, completes assigned registration financial clearance work lists activities, obtains insurance authorizations for scheduled & unscheduled Hospital services, and secures inpatient visit notification to payors. May also assist with scheduling and coordinating post discharge care for patients.

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 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.

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.

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

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 sit at computer terminal for extended periods of time

Occasionally lift / carry items weighing up to 25 lbs.

Frequent prolonged standing, sitting, and walking

Occasionally push a wheelchair to assist patients with mobility problems.

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.

Hospital administration

Can work in patient care locations which include potential exposure to life-threatening patient conditions.

OTHER

Must be available to work hours and days as needed based on departmental / system demands.

Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.

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!

Compensation and Benefit Information

Compensation

Pay : $23.00 - $27.50 per hour.

Shift differentials of $1.00-$2.50 / per hour may be available depending on the shift worked.

Conifer observed holidays receive time and a half.

Benefits

Conifer offers the following benefits, subject to employment status :

Medical, dental, vision, disability, and life insurance

Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.

401k with up to 6% employer match

10 paid holidays per year

Health savings accounts, healthcare & dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

About Us

Our Culture is Rooted in the Communities We Serve

Service is at the heart of Conifer Health's values and our company's culture. Our team members are dedicated to making a positive impact in the places where they live and work. Together, we commit to foster good health, combat hunger and connect humanity. The power of local volunteerism combined with charitable giving helps build the strong, healthy communities we want for ourselves and our clients.

We Deliver Better Business Outcomes for Clients

Consumers are demanding greater transparency on cost and quality, and healthcare organizations and self-insured employers are focusing more on wellness and prevention. Achieving market leadership requires excelling at reimbursement competencies and risk-based capabilities. Aligning with a proven partner with deep expertise in health system reimbursement and risk-based administration can accelerate success and improve your patient, operational and financial outcomes.

Real People and Real Lives Inspire Us to Serve for Better

We're experts at the business of healthcare. But what truly sets us apart is how we deliver revenue cycle management and value-based care services.

Serve for Better is a simple, but powerful mindset for how all of our team members act toward any patient, client, or fellow team member. Serve for Better means we are focused on Empathy, Quality, Completeness and Experience.

About the Team

Together, We Make Better Health Possible

Conifer Health has been providing managed services to health systems, their health plans and managed populations for more than 35 years. Our purpose is to provide the foundation for better health.

Serving Within Our Communities

Service is at the heart of Conifer Health's values. We are proud of the dedication of our employees to make a positive impact in the places where they live and work.

Conifer Health provides employees a variety of ways to give their time and talent to the organizations that mean the most to them.

Focusing on Growth

Conifer Health supports team members through Conifer University. Each field of learning is designed to focus on a unique team member need.

Salary : $23 - $28

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Patient Access Rep II - Rotating Shifts, San Ramon Medical Center

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