EES Insurance Specialist

Conifer Health Solutions, LLC.; San Antonio (TX); On-site; USD 90,000 - 125,000; Full time

Job summary

Conifer Health Solutions, LLC. seeks an experienced supervisor to oversee Government Programs within the healthcare finance/revenue cycle space. You will lead a team, ensure regulatory compliance, and align program delivery with corporate goals.

The role requires collaboration with hospital partners and field offices, with a focus on maximizing program recovery and improving operational performance across multiple facilities.

Qualifications

• Bachelor's degree in Business Administration, Marketing and/or related field or equivalent experience.
• 3–5 years experience in healthcare finance or revenue cycle.
• Last 3 years experience in Federal, State and Local government programs.
• 2–3 years supervisory experience in Federal, State and Local government programs.
• Working knowledge of healthcare products.

Responsibilities

• Supervise Government Programs for assigned division, directing and allocating resources to achieve government program recovery and reduce bad debt.
• Ensure staff compliance with local, state, and federal laws and guidelines.
• Develop and deliver Eligibility Program training for staff and clients.
• Monitor team performance using key indicators and drive improvements to maximize product performance.

Skills

Government Programs

PC literacy

Independent work

Attention to detail

Communication

Education

Bachelor's degree or equivalent experience in Business Administration/Marketing

Tools

Microsoft Office (Excel/Word/Outlook)

Job description

JOB SUMMARY

Work Location: North Central Baptist Hospital

Job Summary

JOB SUMMARY

Work Location: North Central Baptist Hospital

Shift Information: Monday-Friday 8am-4:30pm

Spanish Speaking Preferred

Responsible for maximizing product performance and value to Tenet Patient Financial Services, its clients and the healthcare market through effective supervision, direction and operation of the government programs product and the coordination of its delivery through field operation offices.

Essential Duties And Responsibilities

• Provides overall supervision of Government Programs for assigned division including direction, knowledge, and resources to management and staff to enable them to expedite governmental program recovery and decrease facility bad debt.
• Ensures staff understanding and application of local, state and federal laws and guidelines.
• Develops and delivers Eligibility Program training to divisional staff and its clients. Provides direction to staff on issues/questions relating to Government ProgramsDevelops, refines and manages the product to maximize operational goals and objectives while working with the management team and staff.
• Monitors and builds team morale and productivity as measured against planned objectives. Identifies key performance indicators and utilize them to track and manage product performance.

FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): N/A

Scope

• Scope: Multiple small locations, or single medium sized location, or single large sized location

Supervisory Responsibilities

This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

• Direct Reports (titles) - Patient Advocate and Lead, EES Financial Counselor and Lead. Typically, a 1:12 ratio
• Indirect Reports (titles) - Clerical Support, EES

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 Microsoft Outlook, Excel and Word programs
• Ability to work independently
• Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms
• Ability to prioritize and manage multiple tasks with efficiency
• Excellent oral and written communication, interpersonal, organizational and management skills

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 / Experience

Include minimum education, technical training, and/or experience required to perform the job.

• Bachelors Degree in Business Administration, Marketing and/or related field or equivalent experience
• 3 – 5 years experience in healthcare finance or revenue cycle
• Most recent 3 years experience in Federal, State and Local government programs
• 2 – 3 years supervisory experience in Federal, State and Local government programs
• Working knowledge of healthcare products

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

WORK ENVIRONMENT

• Both Hospital and Office facilities, in direct contact with Patients and Staff

Other

• Must be able to travel

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!

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: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.

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.