Tenet Healthcare Lead Patient Access Representative in Des Moines, Iowa
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!
Demonstrates knowledge of departmental financial clearance and displays Patient Access leadership skills to lead a wide range of duties in support of departmental efficiencies which may include but not limited to arranging support Hospital services requested by patients through referrals, performs thorough analysis of admission discharge transfers (ADT), Revenue Cycle Reports , drive team performance accountability , leads shift Patient Access Operations, collaborates with Department leaders in process and operational excellence.
ESSENTIAL DUTIES ANDRESPONSIBILITIES
Include thefollowing. Others may be assigned.
Greeting customers following ConiferStandards of Care, provides world-class customer service, completes fullpatient registration at date of service adheres to financial & cash controlpolicies & procedures, thoroughly explains and secures Hospital &patient legal forms (i.e., Advance Directives, Conditions of services, Consentfor treatment, Important Message from Medicare, EMTALA, etc.). Scan ProtectedHealth Information, create and file patient information packets/folders forupcoming Hospital services. May alsoschedule diagnostic and/or surgical procedures, conducts physician office/patientinterviews, and explains hospital procedure guidelines and policies. Coordinates with clinical departments onschedule modifications.
Provides full patient financialcounseling, education & referrals, employs and completes all patientliability collection escalations through proper, compliant patient liabilitycollection techniques before, during & after date of service, performsHospital cash reconciliation & secured payment entry in adherence tofinancial & cash control policies & procedures.
Secures medical necessity checks/verificationin accordance to Centers for Medicare & Medicare services, verifiesinsurance, benefits, coverage & eligibility, completes assignedregistration financial clearance work lists activities, obtains insuranceauthorizations for scheduled & unscheduled Hospital services, and securesinpatient visit notification to payors.
Performs thorough analysis of admissiondischarge transfers (ADT), Revenue Cycle Reports, completes departmentaloperational reports based on team performance accountability, leads shiftPatient Access Operations, and collaborates with Department leaders in processand operational excellence.
Creates staff schedules, reviews time off requests, and facilitates teamhuddles & department meetings.
To perform this jobsuccessfully, an individual must be able to perform each essential dutysatisfactorily. The requirements listed below are representative of theknowledge, skill and/or ability required. Reasonable accommodations may be madeto enable individuals with disabilities to perform the essential functions.
Minimum typing skills of 35 wpm
High level working knowledge of allSoftware, programs and equipment, including PCs
Knowledge of function and relationshipswithin a hospital environment preferred
Advance Customer service skills andexperience
Ability to work in a fast pacedenvironment
Ability to receive and express detailedinformation through oral and written communications
Course in Medical Terminology required
Advanced Understanding of Third PartyPayor requirements preferred
Advanced Understanding of Compliancestandards preferred
Advanced Patient Liability Collectionperformance and high achievement in productivity
Must be crossed trained in all PatientAccess service areas
Uses proper negotiation techniques toprofessionally collect money owed by our Patients/Guarantors
Builds and maintains collaborativerelationships with both internal and external Clients that lead to moreeffective communication and a higher level of productivity and accuracy
Identifies opportunities to improvepatient relations and shorten the time it takes to handle registrationprocesses
Include minimumeducation, technical training, and/or experience preferred to perform the job.
High School Diploma or GED required
2-4-year college degree in Business,Accounting, Medical Administration or related area preferred
2 – 4 years of experience in medicalfacility, health insurance, or related area
3– 5 years of experience in PatientAccess preferred
1 – 2 years in supervisory or lead rolepreferred
The physical demandsdescribed here are representative of those that must be met by an employee tosuccessfully perform the essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Must be able to sit at computer terminalfor extended periods of time
Occasionally lift/carry items weighingup to 25 lbs.
Frequent prolonged standing, sitting,and walking
Occasionally push a wheelchair to assistpatients with mobility problems.
The work environmentcharacteristics described here are representative of those an employeeencounters while performing the essential functions of this job. Reasonableaccommodations may be made to enable individuals with disabilities to performthe essential functions.
Can work in patient care locations whichinclude potential exposure to life-threatening patient conditions.
Must be available to work hours and daysas needed based on departmental/system demands.
Must be available for on-call schedulingsupport when required.
Resolves Physician's office and Patientissues. May experience extreme patientvolumes and uncooperative Patients.
Job: Conifer Health Solutions
Title: Lead Patient Access Representative
Location: IA-Des Moines
Requisition ID: 2005022437