
Tenet Healthcare
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• Greeting patients, answering phones and scheduling appointments • Collection of accurate patient demographics • Answers telephones in a prompt and courteous manner • Insurance verification • Referral processing • Will be responsible for charge entry and patient balance processing and the daily reconciliation of charges and payments • Displays concern and provides assistance or explains procedures as appropriate to callers or in face-to-face situations • Ensures that all contacts with patients, the public, physicians and other personnel are carried out in a friendly, courteous, helpful and considerate manner • Manage, copy, and review medical records to ensure accuracy • Coordinates the daily operations of the physician office, including the medical records process, patient and physician scheduling, overseeing the front desk, confirming appointments, and ordering office supplies
• Serve as the primary compliance resource for assigned facilities and regional leadership teams. • Provide guidance on regulatory, compliance, ethics, and privacy matters while identifying practical solutions that support organizational objectives. • Foster a culture of ethical decision-making, accountability, and compliance throughout the region. • Build trusted relationships with administrators, CEOs, physicians, and facility leadership to promote effective compliance oversight. • Implement ongoing execution of Tenet's Ethics, Compliance, and Privacy Program within assigned facilities. • Ensure adherence to the Quality, Compliance, and Ethics Charter and applicable federal and state healthcare regulations. • Drive regional compliance initiatives, work plans, monitoring activities, and risk mitigation strategies. • Implement approved monitoring and reporting processes designed to identify and prevent compliance concerns. • Support the delivery of compliance, ethics, privacy, and security education programs for employees, contractors, and physicians. • Promote awareness of regulatory requirements, organizational policies, and ethical business practices. • Encourage a strong speak-up culture where concerns can be raised without fear of retaliation. • Partner with leadership and subject matter experts to identify, assess, and mitigate compliance risks. • Assist with auditing, monitoring, investigations, and other compliance oversight activities. • Oversee corrective action plans and ensure timely follow-up and sustainable resolution of identified issues. • Collaborate with facility and corporate stakeholders to address audit findings and compliance opportunities. • Lead and participate in Compliance Committee and Board meetings, presenting compliance trends, risks, and mitigation strategies.
• Manage security governance programs, SOX IT controls coordination, customer and vendor security reviews, client-facing security engagements, regulatory and compliance assessments, and cross-functional security initiatives. • Act as the single point of contact (SPOC) for security governance matters across Conifer, ensuring alignment with enterprise security requirements, client obligations, regulatory standards, and business objectives. • Lead Conifer’s security governance activities, ensuring adherence to corporate security policies, regulatory requirements, and industry best practices. • Coordinate and manage SOX IT General Controls (ITGC) activities, control testing, remediation efforts, evidence collection, and audit support. • Support internal and external audits, including SOX, SOC, client audits, and regulatory assessments. • Track compliance initiatives and monitor remediation activities through completion. • Facilitate governance forums and provide regular updates to executive leadership. • Serve as the primary security representative for client security inquiries, assessments, and due diligence activities. • Lead customer security reviews, questionnaires, RFP/RFI responses, and security presentations. • Build trusted relationships with client security, compliance, legal, and technology stakeholders. • Partner with Sales, Client Services, and Operations teams to address customer security requirements during contract negotiations and ongoing service delivery. • Manage Conifer’s third-party security risk management processes. • Conduct security reviews and risk assessments for vendors, partners, and service providers. • Coordinate remediation plans with vendors and internal stakeholders. • Ensure compliance with vendor security requirements, contractual obligations, and client expectations. • Maintain vendor security risk documentation and reporting. • Serve as Conifer’s primary liaison to Tenet Enterprise Security, Risk, and Compliance organizations. • Coordinate the adoption and implementation of enterprise security initiatives across Conifer. • Ensure alignment between Conifer-specific requirements and Tenet cybersecurity standards. • Identify, assess, and monitor information security, operational, and third-party risks. • Support enterprise risk management activities, risk reporting, and mitigation planning. • Track security findings and corrective actions through closure. • Assist in the development and maintenance of security policies, standards, and procedures. • Develop executive-level reporting, dashboards, and risk metrics. • Present security program status, compliance updates, and risk assessments to senior leadership. • Drive cross-functional collaboration among Security, Compliance, Legal, Operations, Technology, and Client Services teams.
• The Patient Account Representative is responsible for working accounts to ensure they are resolved in a timely manner. • Representative will need to effectively follow-up on claim submission, remittance review for insurance collections, create and pursue disputed balances from both government and non-government entities. • Document clear and concise notes in the patient accounting system regarding claim status and any actions taken on an account. • Maintain department daily productivity goals in completing a set number of accounts while also meeting quality standards as determined by leadership.
• Codes diagnoses and procedures of inpatient accounts according to ICD-10-CM/PCS. • Assists the Corporate Coding Manager with second level coding reviews and educates coders on correct coding. • Assists the coding department with coding questions, reviews, or inquiries. • Performs second level coder reviews on accounts that are sent back from Revint, Iodine, coding audits, and coding/billing editor. • Monitors and assists coding manager with DNFC management to goals. • Attends Tenet coding educations and maintains coding credentials.
• Responsible for maximizing product performance and value to Tenet Patient Financial Services, its clients and the healthcare market through effective supervision, direction and operation of the government programs product and the coordination of its delivery through field operation offices. • Provides overall supervision of Government Programs for assigned division including direction, knowledge, and resources to management and staff to enable them to expedite governmental program recovery and decrease facility bad debt. • Ensures staff understanding and application of local, state and federal laws and guidelines. • Develops and delivers Eligibility Program training to divisional staff and its clients. • Provides direction to staff on issues/questions relating to Government ProgramsDevelops, refines and manages the product to maximize operational goals and objectives while working with the management team and staff. • Monitors and builds team morale and productivity as measured against planned objectives. Identifies key performance indicators and utilize them to track and manage product performance.
• A training position which requires enrollment in a Cancer Information Management Program with expected completion within 18 months of hire and attainment of CTR credentials. • Demonstrates incremental understanding and competency in follow-up, casefinding, suspense, and abstracting. • Demonstrates progressive competency in ICD-O coding, FORDS, Collaborative Staging, AJCC Staging, Multiple Primary & Histology Coding Rules, and Texas Cancer Registry and National Cancer Data Base reporting requirements. • Demonstrates basic understanding of American College of Surgeons Commission on Cancer Program Standards. • Meets all internal and external training targets. • Assists in the coordination of cancer conferences. • Completes established competencies for the position within designated introductory period.
• Conducts reviews/audits to identify potential charging & billing issues including lost revenue opportunities; prepares reports based on findings, and provides summary of findings to impacted departments. • Works with clinical departments and other impacted departments to ensure audit findings are addressed and to assist in implementing best charging practice moving forward. • Identifies, researches and analyzes billing errors and/or omissions, working with appropriate staff/team members; ensures that revisions/corrections forwarded and incorporated in processing systems in timely manner. • Provides training to staff engaged in billing data entry and related charge-capture/reconciliation activities to ensure procedures are understood and that charges booked are timely, appropriate, accurate, complete and properly documented. • Stays current with CMS, AHA & state coding/charging & reimbursement guidelines.
• 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. • Other duties as assigned.
• The person in this position is a labor systems professional responsible for supporting the development, implementation, optimization, and utilization of scheduling and staffing, agency procurement, position control and labor reporting applications, as well as performing skill mix and compliance reviews for hospitals on the effective use of these tools. • This position partners with hospital CNOs and operational leaders in leveraging workforce management technologies, including applications such as UKG Pro Workforce Management (WFM), and best practices to optimize scheduling practices, staffing effectiveness, labor productivity, and workforce analytics and enhance staffing office operations.
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