Tenet Healthcare Patient Access Representative III Full time at CHI St Lukes Baylor in Houston, TX in Houston, Texas
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!
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.
Greetingcustomers following Conifer Standards of Care, provides world-class customerservice, completes full patient registration at date of service adheres tofinancial & cash control policies & procedures, thoroughly explains andsecures 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 patientinformation packets/folders for upcoming Hospital services. May also assist with scheduling diagnostic orsurgical procedures, conducting physician office/patient interviews, andexplains hospital procedure guidelines and policies.
Providesfull patient financial counseling, education & referrals, employs andcompletes all patient liability collection escalations through proper,compliant patient liability collection techniques before, during & afterdate of service, performs Hospital cash reconciliation & secured paymententry in adherence to financial & cash control policies & procedures.
Securesmedical necessity checks/verification in accordance to Centers for Medicare& Medicare services, verifies insurance, benefits, coverage &eligibility, completes assigned registration financial clearance work listsactivities, obtains insurance authorizations for scheduled & unscheduledHospital services, and secures inpatient visit notification to payors.
Performsthorough analysis of admission discharge transfers (ADT), Revenue CycleReports, leads shift Patient Access Operations, and collaborates withDepartment leaders in process and operational excellence.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individualmust be able to perform each essential duty satisfactorily. The requirementslisted below are representative of the knowledge, skill and/or abilityrequired. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions.
Minimumtyping skills of 35 wpm
Demonstratedworking knowledge of software/system/equipment/PCs.
Knowledgeof function and relationships within a hospital environment preferred
AdvanceCustomer service skills and experience
Abilityto work in a fast paced environment
Abilityto receive and express detailed information through oral and writtencommunications
Coursein Medical Terminology required
AdvancedUnderstanding of Third Party Payor requirements preferred
AdvancedUnderstanding of Compliance standards preferred
AdvancedPatient Liability Collection performance and high achievement in productivity.
Mustbe able to perform essential job duties in at least three Patient Accessservice areas including ED
Usesproper negotiation techniques to professionally collect money owed by ourPatients/Guarantors.
Buildsand maintains collaborative relationships with both internal and externalClients that lead to more effective communication and a higher level ofproductivity and accuracy.
EDUCATION / EXPERIENCE
Include minimum education, technical training,and/or experience preferred to perform the job.
HighSchool Diploma or GED required
2-4years of experience in medical facility, health insurance, or related area.
2years in Patient Access preferred.
Somecollege coursework is preferred
The physical demands described here arerepresentative of those that must be met by an employee to successfully performthe essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Mustbe able to sit at computer terminal for extended periods of time
Occasionallylift/carry items weighing up to 25 lbs.
Frequentprolonged standing, sitting, and walking
Occasionallypush a wheelchair to assist patients with mobility problems.
The work environment characteristics describedhere are representative of those an employee encounters while performing theessential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Canwork in patient care locations which include potential exposure tolife-threatening patient conditions.
Mustbe available to work hours and days as needed based on departmental/systemdemands.
ResolvesPhysician's office and Patient issues.May experience extreme patient volumes and uncooperative Patients.
Job: Conifer Health Solutions
Title: Patient Access Representative III Full time at CHI St Lukes Baylor in Houston, TX
Requisition ID: 1905037002