Conifer Revenue Cycle Solutions
Patient Advocate Representative - Modesto
Conifer Revenue Cycle Solutions, Modesto, California, United States, 95351
JOB SUMMARY
Responsible for screening self-pay patients at hospital bedside for eligibility in various governmental and non-governmental programs. Responsible for identifying all sources of potential payors—including auto insurance, Workers' Compensation, commercial insurance, private insurance, TPL, etc.—to route accounts appropriately in the Patient Accounting environment. Also responsible for obtaining and completing the Confidential Financial Statement form and assisting patients in the process of applying for any benefits for which they may be eligible.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Conducts interviews with patients and/or family members.
Records and maintains complete documentation of activities performed on accounts while in-house and during the Patient Accounting cycle.
Performs financial clearance functions including collections; cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
Follows up on EES-assigned accounts to ensure follow-through on government applications submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
Conducts field visits to patient homes for skip tracing and/or assisting patients with documents.
Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.
KNOWLEDGE, SKILLS, ABILITIES
Working familiarity with the rules and regulations pertaining to Federal, State and County programs.
Proficiency with P/C systems, including Windows and Microsoft Outlook, Excel and Word.
Ability to work independently.
Excellent oral and written communication skills, with a clear understanding of the English language.
Detail oriented, with strengths in dealing with multiple facilities, supervisors and hospital platforms.
Ability to prioritize and manage multiple tasks efficiently.
Bi‑lingual preferred (Spanish).
EDUCATION / EXPERIENCE
High School diploma or equivalent.
Minimum 2 years work experience with Social Services, Hospital Admitting or a related area.
PHYSICAL DEMANDS
Ability to sit and work at a computer terminal for extended periods of time.
Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside.
Ability to travel if required.
WORK ENVIRONMENT
Both hospital and office facilities, in direct contact with patients and staff.
OTHER
Some travel may be required.
COMPENSATION AND BENEFIT INFORMATION Compensation
Pay: $24.00–$31.25 per hour.
Shift differentials of $1.00–$2.50 per hour may be available depending on the shift worked.
Conifer observed holidays receive time and a half.
Benefits
Medical, dental, vision, disability, and life insurance.
Paid time off (vacation & sick leave) – minimum of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee Assistance Program, employee discount program.
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.
EMPLOYMENT PRACTICES 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.
Tenet participates in the E‑Verify program. For additional information, follow the link:
E‑Verify .
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
About Conifer Health 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!
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ESSENTIAL DUTIES AND RESPONSIBILITIES
Conducts interviews with patients and/or family members.
Records and maintains complete documentation of activities performed on accounts while in-house and during the Patient Accounting cycle.
Performs financial clearance functions including collections; cancels accounts that have not had any patient cooperation and are not eligible for any programs and prepares accounts for Financial Assistance review.
Follows up on EES-assigned accounts to ensure follow-through on government applications submitted. Develops a working relationship with patients, based on good communication skills, enabling accounts to be processed quickly with government program eligibility.
Conducts field visits to patient homes for skip tracing and/or assisting patients with documents.
Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.
KNOWLEDGE, SKILLS, ABILITIES
Working familiarity with the rules and regulations pertaining to Federal, State and County programs.
Proficiency with P/C systems, including Windows and Microsoft Outlook, Excel and Word.
Ability to work independently.
Excellent oral and written communication skills, with a clear understanding of the English language.
Detail oriented, with strengths in dealing with multiple facilities, supervisors and hospital platforms.
Ability to prioritize and manage multiple tasks efficiently.
Bi‑lingual preferred (Spanish).
EDUCATION / EXPERIENCE
High School diploma or equivalent.
Minimum 2 years work experience with Social Services, Hospital Admitting or a related area.
PHYSICAL DEMANDS
Ability to sit and work at a computer terminal for extended periods of time.
Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside.
Ability to travel if required.
WORK ENVIRONMENT
Both hospital and office facilities, in direct contact with patients and staff.
OTHER
Some travel may be required.
COMPENSATION AND BENEFIT INFORMATION Compensation
Pay: $24.00–$31.25 per hour.
Shift differentials of $1.00–$2.50 per hour may be available depending on the shift worked.
Conifer observed holidays receive time and a half.
Benefits
Medical, dental, vision, disability, and life insurance.
Paid time off (vacation & sick leave) – minimum of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
401(k) with up to 6% employer match.
10 paid holidays per year.
Health savings accounts, healthcare & dependent flexible spending accounts.
Employee Assistance Program, employee discount program.
Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder & childcare, AD&D, auto & home insurance.
EMPLOYMENT PRACTICES 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.
Tenet participates in the E‑Verify program. For additional information, follow the link:
E‑Verify .
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.
About Conifer Health 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!
#J-18808-Ljbffr