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!
Position Summary:
This position is responsible for data entry of referral requests and modification requests received from requesting providers via fax review, STAT folder, or customer service phone calls.
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Degree of Supervision:
This position reports to the Director of Operations and requires minimal degree of supervision to ensure tasks are appropriately prioritized.
Job Duties and Essential Functions:
- Responsible for the prompt and accurate entry of all referral information into the company’s data entry system within one day of receipt for non-urgent requests and within 4 hours for urgent requests.
- Responsible for correct identification and labeling of the referral request priority status.
- Responsible for assuring that services are kept in-network and with preferred/contracted providers by proper selection of the specialist within entrendex.
- Must be able to process a minimum of 220 referrals in a 7.5 hour day.
- Responsible for accurate data entry of the STAT referrals into EZCap within 1 hour of receipt.
- Responsible for working the Customer Service report and maintaining a 1 day turnaround.
- Responsible for working the correspondence queue and maintaining all modification requests within 2 days of receipt.
- Responsible for attending meetings and trainings as assigned.
- Maintains and keeps in total confidence, all files, documents and records that pertain to the operation of business of Cap Management Systems.
- All other job-related duties as it relates to the job function or as delegated by the management team.
Physical Requirements:
- Light physical effort (lift up to 10 lbs).
- Mostly sedentary work.
- Regularly needs to be able to bend, stoop and reach to file.
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.
Educational Requirements:
- High School Diploma, GED, or equivalent work experience.
- Prefer two years of college in general education.
Experience/Skills Requirements:
- Two years medical assistant experience in physician office.
- Knowledgeable of medical terminology.
- One-year managed care experience.
- Experience with Excel, Word, and general computers.
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.
