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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. 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.

HOUR

<h3>Job Summary</h3>JOB SUMMARYResponsible 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 RESPONSIBILITIESInclude the following. Others may be assigned.<ul><li>Conducts interviews with patients and/or family members.</li><li>Records and maintains complete documentation of activities performed on account while in-house and during the Patient accounting cycle.</li><li>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.</li><li>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.</li><li>Conducts field visits to patient homes for skip tracing and or assisting patient with documents.</li><li>Notifies hospital case management, social services and admissions staff of case screening determinations and outcomes via verbal and written communication.</li></ul>KNOWLEDGE, SKILLS, ABILITIESTo 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.<ul><li>Working familiarity with the rules and regulations pertaining to Federal, State and County programs</li><li>P/C systems literate including Windows, and Microsoft Outlook, Excel and Word programs</li><li>Ability to work independently</li><li>Excellent oral and written communication skills, as well as the clear understanding of the English language</li><li>Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms</li><li>Ability to prioritize and manage multiple tasks with efficiency</li><li>Bi-lingual preferred (Spanish)</li></ul>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.EDUCATION / EXPERIENCEInclude minimum education, technical training, and/or experience required to perform the job.<ul><li>High School diploma or equivalent</li><li>Minimum 2 years work experience with Social Services or Hospital Admitting or related area</li></ul>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. <ul><li>Ability to sit and work at a computer terminal for extended periods of time</li><li>Must be able to walk through a hospital environment, including across broad campus settings and Emergency Department environments, and visit patients at bedside</li><li>Ability to travel if required</li></ul>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. <ul><li>Both Hospital and Office facilities, in direct contact with Patients and Staff</li></ul>OTHER<ul><li>Some travel may be required</li></ul>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!Compensation and Benefit InformationCompensation<ul><li>Pay: $24.00 - $31.25 per hour.</li><li>Shift differentials of $1.00-$2.50/per hour may be available depending on the shift worked.</li><li>Conifer observed holidays receive time and a half.</li></ul>BenefitsConifer offers the following benefits, subject to employment status:<ul><li>Medical, dental, vision, disability, and life insurance</li><li>Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.</li><li>401k with up to 6% employer match</li><li>10 paid holidays per year</li><li>Health savings accounts, healthcare & dependent flexible spending accounts</li><li>Employee Assistance program, Employee discount program</li><li>Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.</li></ul>
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. Follow the link below for additional information. 
E-Verify: <a href="http://www.uscis.gov/e-verify" rel="nofollow noopener noreferrer" target="_blank">http://www.uscis.gov/e-verify</a> 
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

2603004613 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.

Conifer Revenue Cycle Solutions

Patient Advocate Rep - Modesto

Auto Insurance

Case Management

Communication Skills

Community and Social Services

Computer Terminals

Credit and Collections

Detail Oriented

Disability Insurance

Documentation

Emergency Care

English Language

Establish Priorities

Facilities Management

Federal Laws and Regulations

Financial Statements

Follow Through

Government

Healthcare

High School Diploma

Hospital

Hospital Administration

Insurance

Leadership

Life Insurance

Medical Billing

Microsoft Excel

Microsoft Outlook

Microsoft Windows Operating System

Microsoft Word

Multitasking

Physical Demands

Presentation/Verbal Skills

Quality Management

Record Keeping

Regulations

Social Work

Willing to Travel

Worker's Compensation

Writing Skills

Tenet Healthcare Monster

FEED

OTHER

In this role, you won’t just create care plans—you’ll guide members through every step of their journey, ensuring they receive the support and services needed to thrive. This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments.

Schedule: Monday – Friday | 8:30 AM – 5:00 PM Compensation: $30.00 – $35.00 per hour Location: Hybrid FLSA Status: Non-Exempt This position is an individual contributor, not a People Manager.About Pacific Health Group At Pacific Health Group, we are at the forefront of revolutionizing health and wellness through innovation, compassion, and community-driven care. Our mission is to empower members, uplift families, and positively impact the communities we serve. Our Community Supports (CS) Program helps Medi-Cal members live more independently by addressing health-related social needs. In this role, you won’t just create care plans—you’ll guide members through every step of their journey, ensuring they receive the support and services needed to thrive.What This Role Looks Like (Day-to-Day Reality) This is a highly field-based role supporting members directly in the community.<ul><li>Manage a caseload of members with complex health and social needs</li><li>Spend approximately 65% of your time in the field (homes, shelters, community settings)</li><li>Conduct in-person visits, assessments, and follow-ups</li><li>Travel locally within hiring county</li><li>Coordinate services across healthcare, behavioral health, and community resources</li><li>Participate in community outreach efforts including events, partnerships, and local engagement</li><li>Provide mentorship and support to other care managers</li><li>Document in real-time or by end of day using internal systems This role requires independence, strong time management, leadership capability, and comfort working in fast-paced, community-based environments</li></ul>What You’ll DoCare Coordination & Case Management<ul><li>Conduct comprehensive member assessments to identify health and social needs</li><li>Develop and manage individualized care plans</li><li>Coordinate appointments, services, and long-term support systems</li><li>Ensure continuity of care and consistent follow-through</li></ul>Member Engagement & Advocacy<ul><li>Build strong, trusting relationships with members and their families</li><li>Provide ongoing support through phone, video, and in-person visits</li><li>Advocate for timely care, services, and equitable access to resources</li></ul>Community Outreach & Engagement<ul><li>Represent Pacific Health Group in the community through outreach events, partnerships, and local initiatives</li><li>Build and maintain relationships with community-based organizations, shelters, and service providers</li><li>Identify opportunities to expand community presence and improve access to services</li><li>Support outreach efforts that drive member engagement and program awareness</li></ul>Community Resource Navigation<ul><li>Connect members to housing, food access, workforce programs, childcare, and other services</li><li>Strengthen partnerships with community-based organizations</li><li>Identify gaps in resources and escalate needs for program improvement</li></ul>Leadership & Team Support<ul><li>Provide guidance, mentorship, and support to care managers within the program</li><li>Assist with onboarding and training of new team members</li><li>Promote consistency, collaboration, and best practices across the team</li></ul>Documentation & Compliance<ul><li>Maintain accurate and timely documentation of all member interactions</li><li>Ensure compliance with Medi-Cal, CalAIM, and Community Supports program requirements</li><li>Track progress, outcomes, and service delivery</li></ul>Team Collaboration<ul><li>Partner with interdisciplinary teams including behavioral health, outreach, and social services</li><li>Coordinate with healthcare providers and payers to ensure seamless care delivery</li></ul>Continuous Improvement<ul><li>Identify trends and gaps in services</li><li>Provide feedback to leadership to improve care coordination strategies and partnerships</li></ul>How Success Is Measured<ul><li>Member engagement and successful care coordination outcomes</li><li>Timely and accurate documentation</li><li>Ability to manage caseload independently and effectively</li><li>Quality of mentorship and team support provided</li><li>Strength of community partnerships and outreach engagement</li><li>Compliance with program and regulatory requirements</li></ul>Who Thrives in This Role<ul><li>Is comfortable working independently in the field</li><li>Can manage complex caseloads and competing priorities</li><li>Is a strong leader and team collaborator</li><li>Is proactive, resourceful, and solution-oriented</li><li>Thrives in fast-paced, community-based environments</li><li>Enjoys engaging with the community and building relationships</li><li>Is passionate about supporting high-acuity, underserved populations</li></ul>                              Equal Employment Opportunity Pacific Health Group, along with its divisions, is a proud Equal Opportunity Employer. We embrace diversity and are devoted to creating an inclusive environment for all employees. Our commitment is to ensure equal employment opportunities for every qualified candidate, irrespective of race, religion, gender, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other status protected by federal, state, or local laws. At Pacific Health Group, we recognize the importance of accessibility and are dedicated to providing reasonable accommodations for individuals with disabilities. We believe that our strength lies in our diversity, and we are committed to building a workforce that reflects the varied communities we serve. Join us in a workplace where everyone's contributions are valued and respected.Pre-Employment Requirements Employment is contingent upon the successful completion of our pre-employment process, which includes a background check and the submission of all required documentation and new hire paperwork.AI & Human Interaction (HI) in Recruitment Pacific Health Group is committed to fairness, equity, and transparency in our hiring practices. We use AI (Artificial Intelligence) tools to help match candidate resumes against our job descriptions, focusing on qualifications, skillsets, and location. All resumes that meet these criteria are then reviewed by HI (Human Interaction) — our recruiting and HR team. Pacific Health Group remains true to our Equal Employment Opportunity (EEO) statement, ensuring that every candidate is given fair and consistent consideration.RequirementsMinimum Qualifications<ul><li>Experience: 3–5 years in case management, social services, or healthcare</li><li>Experience with: Medi-Cal, CalAIM, and Community Supports programs (preferred)</li><li>Strong understanding of healthcare systems, managed care, and community resources</li><li>Excellent communication, empathy, and cultural competence</li><li>Strong organizational and time management skills</li><li>Must be proficient in technology, including case management systems, EHR platforms, and documentation tools</li><li>Ability to document in real-time and manage member data accurately</li><li>Comfortable navigating multiple systems and communication platforms</li></ul>Work Requirements<ul><li>Ability to travel locally within hiring county</li><li>Valid California Driver’s License and reliable transportation</li><li>Ability to work in a hybrid, field-based environment</li></ul>BenefitsCompensation & Benefits<ul><li>Hourly Range:$30.00 - $35.00, depending on experience, qualifications, and internal equity</li><li>Monthly stipend</li><li>160 hours PTO + paid sick time</li><li>11 paid holidays (including birthday and floating holiday)</li><li>4 paid volunteer hours per month</li><li>90% employer-paid employee-only medical benefits</li><li>Flexible Spending Account (FSA)</li><li>Short-term & long-term disability, AD&D</li><li>Employee Assistance Program (EAP)</li><li>401(k) with company match</li><li>Professional development opportunities</li><li>Quarterly in-person events</li><li>Employee discount programs</li></ul>

Pacific Health Group

Community Support Lead Care Coordinator

Accidental Death and Dismemberment (AD&D)

Acute Care

Alliance/Partner Management

Artificial Intelligence (AI)

Behavioral Health

Childcare

Community Health

Community Programs

Community Relations

Community Support

Continuous Improvement

Data Management

Diversity

Driver's License

Employee Assistance Plan

Equal Employment Opportunity (EEO)

Health Plan

Healthcare Providers

Human Interaction

Maintain Compliance

Managed Care

Medi-Cal

Medical Record System

Mentoring

Needs Assessment

Onboarding

Organizational Skills

People Management

Plan Meetings

Project Tracking

Regulatory Compliance

Regulatory Requirements

Service Delivery

Team Lead/Manager

Time Management

Trend Analysis

Workable

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Patient Advocate Rep - ModestoConifer Revenue Cycle Solutions

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