Patient Management Clerical Associate

Tenet Healthcare; Detroit (MI); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) with match

Paid time off

Career development

Health savings accounts

Flexible spending accounts

Employee Assistance program

Pet insurance

Legal insurance

Accident & critical illness insurance

Long term care insurance

Elder care

Childcare

Auto insurance

Home insurance

Job summary

Tenet Healthcare, within DMC Children's Hospital of Michigan, seeks a Patient Access/Admitting professional to register patients, collect demographics, insurance info, and assist with pre-registration and pre-admission activities by phone.

You will verify coverage, obtain authorizations, and help patients with billing and payment arrangements.

Qualifications

• High school diploma or equivalent required.
• 1–2 years work experience in hospital healthcare insurance, medical records, billing or related area desirable.
• Working knowledge of medical terminology desired.
• On the job training or related previous experience to acquire skills in screening and preparing patients for exams; some college preferred.
• Six to twelve months of related computer/information management experience required.

Responsibilities

• Greets or contacts patient; collects and verifies all necessary demographic insurance and related data.
• Schedules appointments, generates appointment notices, reschedules and posts cancellations; determines appropriate service settings.
• Verifies insurance coverage and benefit levels; secures authorizations and referrals; assesses patient liability amounts.
• Provides financial counseling services to assist patients in identifying and obtaining alternate payment sources.
• Reviews, monitors, and reconciles collected demographic and insurance data to ensure accurate bill production.
• Reconciles and corrects rejected data transactions as displayed on TCE reports.
• Accesses computerized system to enter/update electronic systems and respond to inquiries.
• Maintains patient service records and performs related duties.
• Participates in bed management as defined by policies.
• Communicates clinical, financial, and administrative information.
• Performs other duties as assigned.
• Assists nursing and technical staff in screening patients and performs registration duties.
• Interacts with technologist and radiology nursing staff; distributes exam results and maintains patient charts.

Skills

Medical terminology

Patient access experience

Data entry

Education

High school diploma or equivalent

Tools

Electronic Health Records

Job description

Embark on a rewarding career with DMC Children's Hospital of Michigan. If you are a compassionate healthcare professional eager to contribute to patient care, this is your opportunity where your skills make a difference every day. Join us in delivering exceptional healthcare with a personal touch.

Benefits Statement

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Generous paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.

Note: Eligibility for benefits may vary by location and is determined by employment status

Job Summary

Under general supervision, registers and schedules patients for health services ensuring appropriateness of setting for services provided. Obtains insurance, medical and/or demographic data to admit or pre-admit patients to the health facility. Verifies insurance coverage and benefit levels with various third party payers. Assists patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangement. Collects cash for deductibles and coinsurances, per insurer guidelines. Participates in bed management activities as defined in operating unit policies and procedures. Functions as liaison between patient and health facility by answering patients questions regarding health facility policies and billing requirements 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 dictated by facility policies and procedures. Collects referrals and authorizations; facilitates securing referrals and authorizations from referring providers as necessary. Performs pre-registration and pre-admission activities via telephone prior to service.

Responsibilities

1. Greets or contacts patient; collects and verifies all necessary demographic insurance and related data. Ensures that consent and other required forms are completed correctly, and patients/guardians signatures are obtained where required.

2. Schedules appointments, generates appointment notices, reschedules and posts cancellations; determines appropriate service settings in accordance with established policies and procedures; and resolves scheduling issues in conjunction with appropriate providers and ancillary departments. Coordinates scheduling of all tests and/or services utilizing current clinical guidelines.

3. Verifies insurance coverage and benefit levels; secures authorizations and referrals; assesses patient liability amounts.

4. Provides financial counseling services to assist patients in identifying and obtaining alternate payment sources.

5. Reviews, monitors, and reconciles collected demographic and insurance data in order to ensure accurate bill production. Ensures compliance with third party payer requirements.

6. Reconciles and corrects rejected erroneous data transactions as displayed on Transmission, Control and Errors (TCE) reports.

7. Accesses computerized system to enter and/or update electronic systems as needed and to answer patients, stakeholders and other pertinent parties inquiries. Responds to general inquiries as required.

8. Maintains patient service records and performs related duties as requested.

9. Participates in bed management as defined by operating unit policies and procedures.

10. Communicates clinical, financial, and administrative information.

11. Performs other duties as assigned.

12. Assists nursing and technical staff in screening patients and performs a variety of moderately to highly complex patient registration duties.

13. Interacts with technologist and radiology nursing staff; interacts with customers/stakeholders to provide/distribute appropriate exam results in a timely and accurate manner; maintains patient charts and films as appropriate.

Qualifications

• High school diploma or equivalent.
• One to two years work experience in hospital healthcare insurance, medical records, billing or related area desirable.
• Working knowledge of medical terminology desired.
• A strong commitment to the DMC customer service standards. Additional qualifications when assigned to Radiology:
• On the job training or related previous experience to acquire skills in screening and preparing patients for exams. Some college preferred.
• Six to twelve months of related computer/information management experience required.

Facility Description

Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children’s Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts in pediatric critical care, rehabilitation, and neonatal and perinatal medicine provide care for thousands of children every year at Children’s Hospital of Michigan, Children’s Hospital of Michigan - Troy and six ambulatory sites.

EEO Statement

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.

Tenet participates in the E-Verify program. Follow the link below for additional information.

E-Verify: http://www.uscis.gov/e-verify

The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations

Job Details

Job: Patient Access/Admitting

Primary Location: Detroit, Michigan

Facility: DMC Children's Hospital of Michigan

Job Type: Full Time

Shift Type: Evening