Patient Advocate Representative

Conifer Health Solutions, LLC.; San Antonio (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Conifer Health Solutions, LLC. is seeking a Patient Eligibility Specialist at Baptist Medical Center in San Antonio, TX. Monday–Friday, 8:00 am–4:30 pm. You will screen self-pay patients for government and non-government programs, determine payor sources, and help patients apply for benefits.

The role requires strong verbal and written communication, familiarity with Windows/Office, and ability to manage multiple tasks; bilingual Spanish preferred. Some travel may be required.

Qualifications

• High School diploma or equivalent required.
• Minimum 2 years experience in Social Services or Hospital Admitting.
• Bi-lingual (Spanish) preferred.

Responsibilities

• Interviews with patients and/or family members.
• Documents activities on accounts during the in-house and patient accounting cycle.
• Performs financial clearance including collections and eligibility screening.
• Follows up on government applications and coordinates with patients.
• Conducts field visits to patient homes for skip tracing or document assistance.
• Notifies hospital staff of screening determinations and outcomes.

Skills

Regulatory knowledge

PC literacy

Independent work

Communication skills

Attention to detail

Task prioritization

Bilingual (Spanish)

Education

High School diploma or equivalent

Tools

Windows

Microsoft Outlook

Excel

Word

Job description

Job Summary

Work Location: Baptist Medical Center

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

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 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
• Excellent oral and written communication skills, as well as the clear understanding of the English language
• Detail oriented, with strengths in dealing with multiple facilities, Supervisors, and Hospital platforms
• Ability to prioritize and manage multiple tasks with efficiency
• Bi-lingual preferred (Spanish)

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

• High School diploma or equivalent
• Minimum 2 years work experience with Social Services or Hospital Admitting or related area

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 if required

WORK ENVIRONMENT

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

Other

• Some 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!

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.