Patient Management Clerical Associates FT Afternoons
Company: DMC Children's Hospital of Michigan
Location: Detroit
Posted on: April 25, 2024
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Job 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.
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.
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:
1. High school diploma or equivalent.
2.One to two years work experience in hospital healthcare
insurance, medical records, billing or related area desirable.
3. Working knowledge of medical terminology desired.
4. A strong commitment to the DMC customer service standards.
Additional qualifications when assigned to Radiology:
5. On the job training or related previous experience to acquire
skills in screening and preparing patients for exams. Some college
preferred.
6. Six to twelve months of related computer/information management
experience required.
Job:
Clerical/Administrative
Primary Location:
Detroit, Michigan
Facility:
DMC Children's Hospital of Michigan
Job Type:
Full Time
Shift Type:
Evening
Shift Begin:
3:00 PM
Shift End:
11:30 PM
2406001420Employment 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.
Keywords: DMC Children's Hospital of Michigan, Ann Arbor , Patient Management Clerical Associates FT Afternoons, Executive , Detroit, Michigan
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