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
The Patient Service Center Representative I is responsible for creating a positive patient experience by accurately and efficiently handling the day to day operations relating to a patient’s anticipated appointment. The PSC REP I may be assigned to either the financial clearance function or the scheduling function and is expected to maintain positive customer service at all times. Upon occasion, the PSC Rep I may perform both financial clearance and scheduling duties but with limited scope. The individual is expected to develop a thorough understanding of assigned function.
ESSENTIAL DUTIES AND RESPONSIBILITIES
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Include the following. Others may be assigned.
If assigned to Financial Clearance:
Collect and verify required patient demographic and financial data elements and creating a complete pre-registered account for a scheduled visit
Completes the pre-certification process by obtaining authorization from insurer and/or healthcare facility, verify patient insurance and confirm benefits eligibility
Assist other team members where necessary
Adheres to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
If assigned to Scheduling:
PSC Rep I would be assigned to easier, less complex scheduling
Responsible for accurate and timely scheduling for outpatient appointments
Provide callers with information related to their appointments (i.e., prep information for test, directions, cancelling/rescheduling of tests, order management etc.) and any other question the callers might ask.
Other duties as assigned based on departmental needs
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.
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 environment
Familiarity with working with dual computer monitors (may be required to use dual monitors)
Must have basic typing ability
Must have working knowledge of Windows based computer environment
Must be able to multi task in a high volume center
Strong written and verbal communication skills
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
Required: High school diploma or GED
Preferred: Two years of college (two years in a professional, customer service-driven environment may substitute for two years of college)
Preferred: Telephone/call center experience
Preferred: Pre-registration and/or scheduling experience
Preferred: 1-2 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 telephone
Ability 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 Environment
Hospital Work Environment
TRAVEL
Approximately 0% travel may be required
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.
