Under general supervision, coordinates, performs the work of and provides leadership for Patient Access Management operations which includes personnel engaged in scheduling, registration, insurance verification and financial counseling of patients to the health care facility. Ensures patient registrations conform to eligibility criteria and standards defined by the health care facility, physicians and third party payors. Functions as a lead and resource person for patient registration, unbilled account management and financial counseling applications. Participates in the selection, scheduling, evaluating and monitoring the work of Patient Management staff. Assists Management with completing monthly schedules and payroll. Reviews patient accounts for accurate collection of demographic data. Ensures insurance verification and authorizations have been obtained. Confirms insurance coverage; secures necessary authorization by telephone, computer connection or mail when required. Resolves complex eligibility or insurance verification problems through contact with patient's family; state, local or government agencies; other hospital departments; and third party payors. Provides continuous education for staff. Conducts training classes and educational in-services for peer group employees and employees from other health facilities within the DMC, as needed. Reviews and monitors resource utilization and recommends appropriate scheduling adjustments. Prepares and distributes up-to-date departmental reports to providers and ancillary departments. Monitors completion and accuracy of operational reports and takes corrective action. Coordinates work procedures and protocols with other DMC operating units as required. Coordinates and participates in special projects, as assigned. Performs other duties as assigned.
1.Associate's Degree or specialty training in a related field. OR
2. Three to five years of progressively more responsible Patient Management experience in scheduling, registration, insurance verification or related area.
3. Working knowledge of medical terminology and coding.
Primary Location: Detroit, Michigan
Facility: DMC Rehabilitation Institute of Michigan
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2005043685
About DMC Rehabilitation Institute of Michigan
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.