CAPABILITIES
Medical eligibility and financial counseling
Our financial advocacy advisors assist your uninsured and underinsured patients by determining eligibility for assistance programs such as Medicare, Medicaid, Social Security disability programs and other insurance and charity programs. From application assistance through account resolution, we help uncover reimbursement for uncompensated care—reducing bad debt and improving patient satisfaction.
Denials prevention and management
Our appeal professionals tackle the complexities of your denials, underpayments and government audits to recover lost revenues due to clinical, technical or administrative denials and identify root causes to reduce future denials volume.
Accounts receivable management
With proprietary technology, unmatched expertise and a process-driven approach, we focus on prioritizing and collecting third-party and self-pay receivables to accelerate cash flow, improve yield and reduce A/R aging. Our team manages the patient financial services responsibilities to provide operational performance that lowers the cost to collect and improves patient satisfaction.
TECHNOLOGY
Conifer Health’s $200-million-plus investment in proprietary technology is anchored by ACE, our technology environment, our MicroSegmentation™ tool and our Six Sigma-designed workflow automation engine. Together, our industry-recognized technology drives more than 40,000 workflows that direct work at the right time, and for the right account, to improve net revenue and cash flow. With Conifer Health, you’ll access premier revenue cycle management technology without the burdens of investment and maintenance. You’ll reduce operating costs through enhanced efficiency while you improve patient and physician satisfaction. Through our compliance program, we remain vigilant of changing federal, state and local regulatory requirements affecting the revenue cycle.
HOW WE'RE DIFFERENT
Peer Reviewed by HFMA®
Conifer Health's Business Office Management solution is HFMA Peer Reviewed—the industry standard for recognition of effectiveness, quality, usability, value and client support.
Recognized in KLAS® revenue cycle outsourcing report
One of only two providers to meet the requirements to be fully ranked as a comprehensive revenue cycle outsourcing solution provider in the KLAS Research Report, “Revenue Cycle Outsourcing: Tools, Expertise and Resources Key to Improved Collections,” Conifer Health is recognized by hospital leaders for our technology, methodology and processes, and key performance metric impact on discharge not-final billed (DNFB), denials management, and reduction in A/R days.
Best practices
We bring to your engagement the benefits of years of knowledge from work with other clients. We share these best practices immediately—from overall strategy to specific processes and tools that boost revenue cycle performance.
Healthcare DNA
Our service offerings are responsive to hospital operational needs because our solutions were developed, tested and proven over the last 30 years in one of the nation’s largest healthcare systems. Our DNA is healthcare. We’re owned by healthcare systems—not by payers, consultants, venture capitalists or technology companies.
Senior account management
Your engagement is led by an experienced revenue cycle services director. As a single point of information and accountability, this senior manager will set goals, provide regular reports and collaborate with you on improvement strategies.
A proven team with unmatched experience
We have more than 30 years of experience in healthcare-focused business process solutions and business office management.
State-of-the-art patient contact center
Your onsite Conifer Health team is supported by experts in our Service Centers. We’ve invested millions in staffing, training and technology to deliver excellent service to your patients and bottom-line results to you. Our patient interactions reflect your values and support your hospital’s mission.
Quality assurance
Ongoing training and quality assurance ensures that we’re communicating clearly and courteously to every patient. We survey callers regularly to make sure our service is strengthening your reputation.