The Hospitals of Providence Patient Service Center Rep Scheduler at St Vincent Hospital in Worcester, Massachusetts
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 to our 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 makers—hospitals, health systems, physicians, self-insured employers, and payers—to 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 hiring for a Patient Service Center Rep.
The Patient Services Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day to day operations relating to financial clearance activities. This includes adherence to the department’s policies and procedures related to the verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties. The Representative will work under the guidance of the Financial Clearance Supervisor and will be responsible for timely escalating financial clearance issues to the Supervisor or above leadership.
Verify medical benefits and eligibility with payors and calculate patient liability collection amounts.
Completes the whole patient financial clearance process; including educating patients on liability and collection of patient liabilities due.
Completes all account documentation and enters the correct activity code when required.
Secures insurance authorizations for services and updates account accordingly.
Performs payment reconciliation & secured payment entry in adherence to financial & cash control policies and procedures.
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
Ability to work in multiple systems, support multiple facilities, and if applicable support other financial clearance teams
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 required
Understanding of Compliance standards required
Must be able to perform essential job duties with at least two Patient Service Center teams
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.
Must be able to appropriately interpret physician orders, medical terminology and insurance cards while maintaining Conifer Standards of Care.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
2 years of experience in a customer service skills with basic typing ability and working knowledge of a Windows based computer environment
2 years of experience in a call center environment or similar customer service experience preferred
High school diploma or GED required
Some college coursework is preferred
Job: Conifer Health Solutions
Title: Patient Service Center Rep Scheduler at St Vincent Hospital
Requisition ID: 1605049765