Ees Insurance Specialist - San Antonio, United States - Conifer Revenue Cycle Solutions

Conifer Revenue Cycle Solutions
Conifer Revenue Cycle Solutions
Verified Company
San Antonio, United States

3 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter
Description

JOB SUMMARY

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Include the following. Others may be assigned._
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Performs an in-depth analysis of all inventory identified as eligible. The analysis includes, but not limited to review of patient's demographics, payor data review, understanding payor methodology, commercial vs. government payor structures.

Working knowledge of chronic illnesses, researching and understanding of diagnosis and patient's prognosis, reviewing medical records as necessary to determine eligibility:

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Follows up on all assigned inventory timely according to documentation and follow-up guidelines. Documents thoroughly, applies all necessary codes to ensure accounts are captured correctly through our reporting.

Once approval is obtained ensures coordination of benefits are correctly documented and verified:

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Works closely with management team to continue the development of the program

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.

  • Working familiarity with the rules and regulations pertaining to Federal, State and County programs
  • P/C systems literate including Windows, and Micorsoft Outlook, Excel and Word programs
  • Ability to work independently
  • Excellent oral and written communication skills, as well as the clear understanding of the English language
  • Detail oriented, with strengths in dealing with multiple facilites, Supervisors, and Hospital platforms
  • Ability to prioritize and manage multiple tasks with efficiency
  • Valid Drivers License and auto insurance

EDUCATION / EXPERIENCE

  • Include minimum education, technical training, and/or experience preferred to perform the job._
  • High School Diploma or equivalent
  • Minimum 2 years of work experience in the medical field
  • Knowledge of Medical terminology

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
  • Includes ability to walk through hospitalbased departments across broad campus settings, including Emergency Department environments

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 or Hospital Work Environment

TRAVEL

  • Approximately 10% travel may be required

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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