Vacancy expired!
Client Inquiry Senior Representative- Remote
Description
As a part of the Tenet and Catholic HealthInitiatives family, Conifer Health brings 30 years of healthcare industryexpertise to clients in more than 135 local regions nationwide.
We help ourclients strengthen their financial and clinical performance, serve theircommunities and succeed at the business of healthcare.
Conifer Health helpsorganizations transition from volume to value-based care, enhance the consumerand patient healthcare experience and improve quality, cost and access tohealthcare.
Are you ready to be part of our solutions? Welcome to the company that gives you theresources and incentives to redefine healthcare services, with a competitivebenefits package and leadership to take your career to the next step!
JOBSUMMARY
Responsible for responding and completing a detailed analysis ofcomplicated client inquiries regarding account level questions, process orprocedure inquiries.
On inquiries that are considered escalation, partner withall influencing parties to remediate and be accountable for closing the loop byanalyzing for root cause or drivers.
This may be initiated and accomplishedthrough written and oral communication with the client or its customer (payer,patient, attorney, and so on) with the use of email or by phone.
They will be required to understand theConifer organization and Client needs as a foundation for deliveringresolutions and service.
ESSENTIALDUTIES AND RESPONSIBILITIES
Includethe following. Others may be assigned.
Responsible for responding to complicatedinquiries, working with all levels of management in other cross functionaldepartments to ensure inquiries are research / resolved.
Interpret breakdowns andtrend for actionable insights. This may require communications by phone orwritten and includes utilization of client system, payer websites, and standardConifer PFS operating systems.
Analyze all escalations by providing a detailedanalysis of drivers and root causes. The would require investigating andreporting in a mechanism where data can be analyzed on a monthly basis.
Analyze trending reports weekly for managementby providing data related to issues / root causes and probable solutions withsupporting elements.
Qualifications
KNOWLEDGE,SKILLS, ABILITIES
To performthis job successfully, an individual must be able to perform each essentialduty satisfactorily. The requirements listed below are representative of theknowledge, skill and / or ability required.
Reasonable accommodations may be madeto enable individuals with disabilities to perform the essential functions.
Independent,logical thinker with proven ability to perform detailed analysis and makerecommendations.
Abilityto mediate with internal partners for resolution of complex issues
Abilityto exercise sound judgment in assessing risk of failures and escalate issues tomanagement
Abilityto be resourceful but know when to engage others for support, escalate for helpor ask clarifying questions.
Aboveaverage communication skills - Stronginterpersonal, verbal and writeen communication skills, excellent listeningskills, and organizational skills
Aboveaverage troubleshooting skills, with ability to research and articulate complexprocess breakdown issues with trends
Ability to handle high productivity standards, at exceptionalquality. Requires ability to work at a rapid pace while maintaining accuracy.
Proficient understanding of Hosptial Revenue Cycle Services
Proficient data entry and typing skills
Must be a team player Always willing to help in whateverway possible and go the extra mile to get the job done.
Intermediate Microsoft Office (Word, Excel)
EDUCATION / EXPERIENCE
Includeminimum education, technical training, and / or experience preferred to performthe job.
Bachelor’s Degree, preferably in Business or Health Care, or equivalent experience preferred
Extensive or minimum 3-year experience as a client relations specialist / representative or similar position preferably in the healthcare industry.
PHYSICALDEMANDS
The physicaldemands described here are representative of those that must be met by anemployee to successfully perform the essential functions of this job.
Reasonable accommodations may be made to enable individuals with disabilitiesto perform the essential functions.
Ability to sit at a computer terminal for extended periodsof time
Ability to work extended hours when required.
WORKENVIRONMENT
The work environment characteristics described here arerepresentative of those an employee encounters while performing the essentialfunctions of this job.
Reasonable accommodations may be made to enableindividuals with disabilities to perform the essential functions.
Call Center environment with headset and multiple workstations within close proximity
Conifer Health Solutions
Vacancy expired!