Patient Access Representative II Cardiology Part Time Days

Tenet Healthcare; Michigan; On-site; USD 10,000 - 60,000; Part time

Job summary

A leading healthcare provider is seeking a part-time Patient Access Representative II to join their team at DMC Huron Valley-Sinai Hospital. This role involves training staff, resolving complex patient issues, and ensuring accurate patient registration and insurance verification. The ideal candidate will have experience in patient access and a strong understanding of third-party payer requirements.

Qualifications

• Two to three years of progressively responsible experience in patient access or hospital registration.
• High school diploma required; associate degree preferred.

Responsibilities

• Functions as a resource to Patient Access Representative I and provides training.
• Verifies insurance coverage and benefits, and calculates estimated patient liability.
• Assists patients in completing necessary forms and obtaining signatures.

Skills

Advanced knowledge of third party payers

Reimbursements

Copayments/Deductible collections

Education

High school diploma

Associate degree in related area

Job description

DMC Huron Valley-Sinai Hospitalin Oakland County is committed to outstanding customer service and medical care. This hospital features the Harris Birthing Center with all private birthing suites, the Charach Cancer Treatment Center (affiliated with the Barbara Ann Karmanos Cancer Center), cardiac services, and comprehensive inpatient and outpatient diagnostic care. For emergency services, obstetrics and ambulatory surgery, Huron Valley-Sinai consistently ranks among the top hospitals in the nation.

Job Summary

Under limited supervision functions as a resource to Patient Access Representative I. Provides training and orientation on department methods, procedures and policies. Provides input for establishing departmental policies and procedures. In conjunction with Lead, resolves complex eligibility or insurance verification problems through contacts with patient or patient family, state or government agencies, other hospital departments and third party payers. Assists Financial Counselor with financial counseling services to help patients in identifying and obtaining payment sources. Resolves complex and/or sensitive issues and recommends appropriate actions. Participates in bed management as defined in operating unit policies and procedures. Verifies insurance coverage and benefits, obtains and analyzes necessary authorizations and referrals, and calculates estimated patient liability. Reviews, monitors, and reconciles patient accounts to ensure accurate bill production. Ensures compliance with third party payer requirements. Registers and schedules patients for health services ensuring appropriateness of setting for services provided Explains appropriate forms to patient and family and ensures that necessary consent, regulatory forms, and MSP questionnaire (if applicable) are completed correctly and that patient signatures are obtained. Obtains accurate insurance, medical and demographic data to admit or pre-admit patients to the health facility. Verifies insurance coverage and benefit levels with various third party payers and analyzes authorization and referrals, calculates estimated patient liability. Determines patient co-pay/deductibles and collects payment as outlined in hospital policies. Assists patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangement and cash collections. Coordinates scheduling of all tests and/or services utilizing current clinical guidelines. Develops liaison relationship between patient and health facility by answering patient s questions regarding health facility policies and billing procedures and by obtaining necessary information to efficiently register and accurately bill for services rendered. Assists patients in completing necessary forms and obtains patient signature as needed. Collects referrals and authorizations; attempts to secure telephone referral if necessary. Completes telephone registrations as appropriate. Resolves bill holds in a timely manner to ensure completion within 5-day bill hold reconciles and corrects any rejected transactions on user specific Transmission, Control and Errors (TCE) reports. Assist and participates in special projects as assigned. Communicates clinical, financial, and administrative information. Performs duties of Lead as requested. Performs other duties as assigned.

Qualifications:

1. High school diploma, associate degree in related area desired.
2. Two to three years of progressively more responsible experience in patient access, hospital registration or related area.
3. Advanced knowledge of third party payers requirements, reimbursements and copayments/deductible collections etc.

Job: Customer Service

Primary Location: Commerce Township, Michigan

Facility: DMC Huron Valley-Sinai Hospital

Job Type: Part Time

Shift Type: Day

2506001277