Thursday, October 17, 2013

Patient Access Rep. for Full Time at Park Plaza Hospital



Description

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-based care solutions, we empower healthcare decision makershospitals, health systems, physicians, self-insured employers, and payersto better connect every point of care and wellness management. 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!

Conifer Health Solutions is currently seeking a Full Time Patient Access Representative for Park Plaza Hospital in Houston, TX.



This position will be responsible for greeting customers and providing assistance with Registration and Bed Control. Conducts patient/guarantor interviews, explains hospital policies, financial responsibilities, privacy practices and patient bill of rights. Ensures that pre-certification and/or authorization are obtained, patient liabilities are collected, and appropriate bed assignments are made.



  • Responsible for obtaining complete and accurate demographic and financial information from a variety of sources, including patient interviews, physician offices and in-house departments. Perform required pre-certification, credit referral or deposit collection. Enters data in computer and thoroughly documents any incomplete admissions/registrations in manner prescribed.

  • Obtains pre-certification, referral or authorization number and updates patients' file. Gives demographic information to insurance companies and calls physicians' offices if clinical information is needed for pre-certification and verifies the information obtained.

  • Notify patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction. Notifies patients of co-payments, deductibles or deposits needed and collects the liability, when applicable, documenting all information in computer system.

  • Completes Compliance Checker Process in accordance with Regulatory and established Guidelines.

  • Maintains positive customer service at all times, referring unresolved issues to appropriate supervisor.

  • Answers telephone calls. Follows pre-established script and provide assistance to callers.

  • Responsible for the monitoring of daily activity and completion of reports such as, cash tracker, financial clearance reports, CVM, A112 and more.

  • May perform Scheduling with Supervisory oversight.

  • May assist with PBX and Bed Management.


Qualifications


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 crossed trained in 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.


EDUCATION / EXPERIENCE

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



  • High School Diploma or equivalent

  • 1-2 years experience in medical facility, health insurance, or related area preferred

  • Some college coursework is preferred






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