Conifer Health Solutions
Patient Service Center Rep II , Days - THOP Memorial Campus
Conifer Health Solutions, El Paso, Texas, us, 88568
Job Summary
The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day‑to‑day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence 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 in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre‑registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s).
Essential Duties and Responsibilities
Scheduling:
Responsible for timely scheduling, providing callers with important information related to their appointment (e.g., prep information for tests, directions, order management, etc.).
Financial Clearance:
Up to and including verifying patient demographic, insurance information and securing payment of patients’ financial liability/performing collection efforts.
Order Management (if assigned):
Verifies that the order is complete and matches the scheduled procedure. Includes indexing and exporting physicians’ orders to the correct account number.
Complex Pre‑Registration (if assigned)
Collect and verify required patient demographic and financial data elements, including determining a patient’s financial responsibility and securing pre‑payment for future services/performing collection efforts.
Create a complete pre‑registration account for an upcoming inpatient/surgical admission.
Complete all pre‑certification requirements by obtaining authorization from insurer and/or healthcare facility.
Other duties as assigned based on departmental needs.
Knowledge, Skills, Abilities
Ability to work in a production‑driven call‑center environment.
Familiarity with working with dual computer monitors (may be required to use dual monitors).
Basic typing ability.
Working knowledge of Windows‑based computer environment.
Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously.
Extensive multitasking ability.
Strong written and verbal communication skills.
Education / Experience
Required: High school diploma or GED.
Preferred: Two or more years of college (two years in a professional, customer‑service‑driven environment may substitute for two years of college). Preferred completion of related medical certification program.
Preferred: Telephone/call‑center experience.
Preferred: Pre‑registration and/or scheduling experience.
Preferred: 2–3 years of customer service experience.
Physical Demands
Must be able to work in a sitting position, use a computer and answer telephone.
Ability to travel.
Work Environment
Office Work Environment.
Hospital Work Environment.
Travel
Approximately 0% travel may be required.
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.
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 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!
Seniority level
Associate
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care and Medical Practices
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Essential Duties and Responsibilities
Scheduling:
Responsible for timely scheduling, providing callers with important information related to their appointment (e.g., prep information for tests, directions, order management, etc.).
Financial Clearance:
Up to and including verifying patient demographic, insurance information and securing payment of patients’ financial liability/performing collection efforts.
Order Management (if assigned):
Verifies that the order is complete and matches the scheduled procedure. Includes indexing and exporting physicians’ orders to the correct account number.
Complex Pre‑Registration (if assigned)
Collect and verify required patient demographic and financial data elements, including determining a patient’s financial responsibility and securing pre‑payment for future services/performing collection efforts.
Create a complete pre‑registration account for an upcoming inpatient/surgical admission.
Complete all pre‑certification requirements by obtaining authorization from insurer and/or healthcare facility.
Other duties as assigned based on departmental needs.
Knowledge, Skills, Abilities
Ability to work in a production‑driven call‑center environment.
Familiarity with working with dual computer monitors (may be required to use dual monitors).
Basic typing ability.
Working knowledge of Windows‑based computer environment.
Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously.
Extensive multitasking ability.
Strong written and verbal communication skills.
Education / Experience
Required: High school diploma or GED.
Preferred: Two or more years of college (two years in a professional, customer‑service‑driven environment may substitute for two years of college). Preferred completion of related medical certification program.
Preferred: Telephone/call‑center experience.
Preferred: Pre‑registration and/or scheduling experience.
Preferred: 2–3 years of customer service experience.
Physical Demands
Must be able to work in a sitting position, use a computer and answer telephone.
Ability to travel.
Work Environment
Office Work Environment.
Hospital Work Environment.
Travel
Approximately 0% travel may be required.
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.
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 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!
Seniority level
Associate
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care and Medical Practices
#J-18808-Ljbffr