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Customer Care Representative, St. Louis, MO

Company Name:
Tenet
Title: Customer Care Representative, St. Louis, MO
Location: MO-St. Ann
Other Locations:
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health Solutions is a leading healthcare business process management services provider working to improve operational performance for more than 600 clients so they can support financial improvement, enhance the patient experience, and drive value-based performance. Through our revenue cycle management, patient communications, and value-based care solutions, we empower healthcare decision makers-hospitals, health systems, physicians, self-insured employers, and payers-to better connect every point of care and wellness management. 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!
Conifer Health Solutions is currently hiring for a Customer Care Representative.
JOB SUMMARY
Responsible for answering inbound customer, payer, and attorney calls related to patient accounting questions for hospitals. Calls are primarily related to accounts with government and non-government insurance however may also be for self-pay and uninsured. The work environment is within a fast-paced call center with a requirement to be talking on the phones 70% or more of the work day.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Answer inbound customer service calls and make some outbound follow up calls in a professional, service oriented manner. Answer the calls timely without drops/abandons.
Ascertain the reason for the call and assist the caller with their questions, concerns or problems with the focus on first call resolution. Facilitate resolution by referring the matter to the issue/content expert. Escalate the matter to a supervisor, request the appropriate information or take appropriate action so that the issue expert is able to effectively resolve the matter.
Assist with inbound faxes to identify issues and take action on account to facilitate faxed request.
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.
Exceptional customer service skills including effective and efficient problem solving and analyzing skills
Professional and calming tone of voice with complete command of the English language free of use of inappropriate grammar
Ability to facilitate conversations with others and establish an understanding of the customer's issue/reason for contact
Ability to perform essential job functions with high degree of independence, flexibility, and creative problem solving techniques
Ability to maintain control of the call by de-escalating issues and instilling confidence that the resolution has been found.
Ability to function effectively under stress of conflicting demands on time and attention and, sometimes, under duress from difficult personalities
Ability to interpret and apply reimbursement aspects of managed healthcare contracts
Attentive listening skills
Ability to clearly articulate a response to the customer using appropriate voice modulation
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience preferred to perform the job.
High school education or the equivalent
1 - 2 years prior experience in an inbound call center and/or customer service environment; hospital patient account billing with experience or knowledge of 3rd party reimbursements from insurance companies and government payers is a plus
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 at a computer terminal for extended periods of time
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.
Call Center environment with headset and multiple work stations within close proximity

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