As a partof the Tenet and Catholic Health Initiatives family, Conifer Health brings 30years of healthcare industry expertise to clients in more than 135 localregions nationwide. We help our clients strengthen their financial and clinicalperformance, 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 theresources and incentives to redefine healthcare services, with a competitivebenefits package and leadership to take your career to the next step!
Responsiblefor answering incoming calls from providers and members as they relate toeligibility, benefits, claims, coverage and authorization of services. Thisposition will also problem-solve and explain programs and procedures to callersand will answer/address claim payment questions with providers.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Answeringincoming phone calls for both members and providers
Claimsstatus and eligibility depending on the queue on which they serve
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individualmust be able to perform each essential duty satisfactorily. The requirementslisted below are representative of the knowledge, skill and/or abilityrequired. Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions.
A strong sense of responsibility for providing a great customer experience
Detail-oriented and highly-organized
EDUCATION / EXPERIENCE
Include minimum education, technical training,and/or experience preferred to perform the job.
1-3 years of customer service experience in a call center and or health care environment preferred
High school degree or equivalent required, Bachelor degree preferred
The physical demands described here arerepresentative of those that must be met by an employee to successfully performthe essential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Must be able to work in sitting position, use computer and answer telephone
The work environment characteristics describedhere are representative of those an employee encounters while performing theessential functions of this job. Reasonable accommodations may be made toenable individuals with disabilities to perform the essential functions.
Office Work Environment
Job: Conifer Health Solutions
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâs or employeeâs 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.