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!
Responsible for answering incoming calls from providers, health plan and members as they relate to eligibility, benefits, claims, coverage and authorization of services. This position supports multiple lines of business and will also problem-solve and explain programs and procedures to callers and will answer/address claim payment questions with providers.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Answering incoming phone calls via ACD phone system
Entering of telephonic referrals
Provide eligibility, benefits, claim and referral status depending on the queue on which they serve
Retrieve Voice Mails
Assist in resolving issues for providers as they relate to claims, authorization and eligibility inquiries
Serves as resource to CSRI
Special projects as assigned
Able and willing to step in, in the absence of the lead and or supervisor to lead the team.
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.
A strong sense of responsibility for providing a great customer experience
Detail-oriented and highly-organized
Excellent verbal and written communication skills.
Excellent organization skills with ability to handle multiple tasks and prioritize work.
Knowledge of CPT, ICD-10, HCPCS codes, HCFA1500 and UB04 billing forms.
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
2-3 years of customer service experience in a call center and or health care environment preferred
High school degree or equivalent required, Bachelor degree preferred
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
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 Work Environment
Job: Conifer Health Solutions
Primary Location: Annapolis, Maryland
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2005044898
About Conifer Health Solutions
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.