Patient Advocate Representative III

Conifer Health Solutions
Louisville, KY Full Time
POSTED ON 11/19/2019 CLOSED ON 4/7/2020

What are the responsibilities and job description for the Patient Advocate Representative III position at Conifer Health Solutions?

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!

JOB SUMMARY

Responsible for providing lead support to Supervisors and Managers within a specific market or region of client hospitals. Acts as mentor and trainer for new staff. Provides cross coverage for hospital based Patient Advocates. Provides account level analysis for supervisors and hospitals.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

  • Assists market leadership with the review and documentation of employee work effort on account work and provides feedback to staff.

  • Assists market leadership with the compilation and analysis of various monthly reports. (I.E. Month End data, Aging, Trending, Cancellations, Inventory Reconciliations, facility census review, etc.)

  • Interacts with various levels of facility administration to communicate various departmental needs or issues and act as liaison when attending or leading facility meetings.

  • Provides cross-coverage for assigned market facilities when a Patient Advocate is on vacation or ill. Cross-coverage includes, but is not limited to, traveling to facility, screening patients for government program eligibility, completing necessary paperwork with patients, documenting decisions made on referrals in automated systems and in required departmental paperwork.

  • Performs financial clearance function including collections.

  • Trains and mentors new hires on policies and procedures of the department, facility protocol, and various operating systems.

  • Reviews accounts that have been referred from the Patient Advocate for cancellation, where the patient may not have cooperated and/or are not eligible for a government program.

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.

Indirect Reports- Rep, Patient Advocate



Qualifications:

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, ability to present to a group audience and lead a business meeting.

  • 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)

EDUCATION / EXPERIENCE

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

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

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.

  • 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

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.

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

OTHER
  • Must be able to travel

Job: Conifer Health Solutions
Primary Location: Louisville, Kentucky
Job Type: Full-time
Shift Type: Days
If Other Shift, Specify: M-F 8:00 4:30
Shift Begin: 8:00 AM Shift End: 4:30 PM
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