Auto Insurance, Case Management, Communication Skills, Community and Social Services, Credit and Collections, Documentation, Financial Statements, Follow Through, Government, Hospital, Hospital Administration, Insurance, Medical Billing, Multilingual, Presentation/Verbal Skills, Record Keeping, Social Work, Worker's Compensation
Job Summary
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 account 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
Include the following. Others may be assigned.
Conducts interviews with patients and/or family members.
Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.
Performs financial clearance function 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 application 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 patient 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
To perform this job
T
Tenet Healthcare Corp
Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.
Since 2003, Tenet's Commitment to Quality has improved the quality of medical care and patient safety at its hospitals and other businesses by evaluating processes and promoting best practices. As the world in which Tenet operates continues to change, Tenet's Commitment to Quality will remain focused on quality, the growing quality gap relative to top performers in the industry, and the fact that payers and employees use quality as a distinguishing factor. Visit the Quality Care page for more information.
Tenet has taken the lead in addressing the needs of the uninsured through its Compact With Uninsured Patients. Established in 2003, the Compact focuses on treating patients without insurance fairly and with respect during and after their treatment, regardless of their ability to pay. Tenet also is committed to working with its patients through financial counseling and alternative payment options.
10,000 employees or more
http://jobs.tenethealth.com