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!
The Health Plan Enrollment Representative will be responsible for screening, assessing and assisting individuals with a variety of health related programs and other support services such as Medi-Cal, CalFresh, perform physician referrals and link families to other community resources. Responsibilities may include, however are not limited to, the completion of electronic or paper applications to establish eligibility including enrollment through the Marketplaces offered through the Affordable Care Act without regard to insurance plan preferences. This role will provide information to those seeking assistance in an accurate, fair and impartial manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Assist consumers by providing information regarding various health related programs and support services as well as provide guidance and application enrollment assistance in qualified health plans that are offered through the marketplace/exchanges.
Provide enrollment and education assistance support at hospital sponsored outreach events.
Answer all correspondence (phone, email, mail, etc.) directed to the Rep. in a timely fashion.
Maintain accurate reporting data to track service performance
POSITION: 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.
Strong written and verbal communication skills to effectively interact with patients, hospital staff personnel and individual healthcare consumers
Ability to develop strong relationships with key stakeholders, including but not limited to patients, hospital administration/staff and the general public
Provide outstanding customer service to all patients, hospital staff, co-workers and all other healthcare consumers
Knowledge of government programs eligibility and hospital registration processes
Knowledge of rules and regulations pertaining to Federal, State and County programs
Knowledge of and adherence to all privacy and security rules.
Strong PC skills, including Microsoft Office experience.
Must be motivated, a self-starter, reliable and team player, work independently.
Ability to prioritize and manage multiple tasks with efficiency
Must embrace company vision, mission & values and demonstrate understanding of Conifer culture
EDUCATION / EXPERIENCE
High school diploma required
Bilingual (Spanish) a plus
Some college with or equivalent of at least 2 years of professional experience in patient advocacy, social work, government program eligibility, healthcare customer service or related discipline preferred
Working knowledge of healthcare plan products (E.G. Aetna, BC/BS, Coventry, Anthem, etc)
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.
Must be able to work in sitting position, use computer and answer telephone
Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
Ability to lift and/or move up to 25 pounds
Specific vision abilities required by this job include close vision
Ability to travel within assigned market, as required
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.
Position will be located in a hospital, hospital business office or medical office environment, in direct contact with patients and hospital staff
Must be able to work in a fast paced environment
Must be able to pass CMS Certified Application Counselor training course and exam
Must be able to pass background check as defined by federal and state requirements for Certified Application Counselors
Responsible for all other duties as assigned
Must have a valid driverï¿½s license and auto insurance
Job: Conifer Health Solutions
Primary Location: Phoenix, Arizona
Job Type: Full-time
Shift Type: Evening
If Other Shift, Specify: Sunday-Thursday
Shift Begin: 3:00 PMShift End: 11:30 PM
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2005020950
About Conifer Health Solutions
Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.