Details
Posted: 23-Jun-22
Location: Hardeeville, South Carolina
Salary: Open
Categories:
General Nursing
Internal Number: 2005015571
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!
JOB SUMMARY
Responsible
for a wide range of duties in support of departmental efficiencies which may
include but not limited to performing
registration, patient pre-admission and admission, reception and
discharge functions, arranging support Hospital services requested by patients
through referrals, performs thorough analysis of admission discharge transfers
(ADT), Revenue Cycle Reports, leads shift Patient Access Operations, and
collaborates with Department leaders in process and operational excellence.
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 or
surgical procedures, conducting physician office/patient interviews, and
explains hospital procedure guidelines and policies.
Provides
full patient financial counseling, education & referrals, employs and
completes all patient liability collection escalations through 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
& Medicare 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.
Performs
thorough analysis of admission discharge transfers (ADT), Revenue Cycle
Reports, leads shift Patient Access Operations, and collaborates with
Department leaders in process and operational excellence.
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.
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Minimum typing skills of 35 wpm
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Demonstrated working knowledge of software/system/equipment/PCs.
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Knowledge of function and relationships within a hospital environment preferred
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Advance Customer service skills and experience
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Ability to work in a fast paced environment
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Ability to receive and express detailed information through oral and written communications
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Course in Medical Terminology required
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Advanced Understanding of Third Party Payor requirements preferred
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Advanced Understanding of Compliance standards preferred
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Advanced Patient Liability Collection performance and high achievement in productivity.
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Must be able to perform essential job duties in at least three Patient Access service areas including ED
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Uses proper negotiation techniques to professionally collect money owed by our Patients/Guarantors.
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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.
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.
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High School Diploma or GED required
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2-4 years of experience in medical facility, health insurance, or related area.
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2+ years in Patient Access preferred.
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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.
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Must be able to sit at computer terminal for extended periods of time
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Occasionally lift/carry items weighing up to 25 lbs.
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Frequent prolonged standing, sitting, and walking
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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.
OTHER
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Must be available to work hours and days as needed based on departmental/system demands.
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Resolves Physician's office and Patient issues. May experience extreme patient volumes and uncooperative Patients.
Job:
Patient Access
Primary Location:
Hardeeville, South Carolina
Job Type:
Full-time
Shift Type:
Days
Employment practices will not be influenced or affected by an applicant�s or employee�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.