Access Specialist Troy, MI Part Time Rotate
: Job Details :

Job Description - Access Specialist Part Time Rotate (240#######)

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

Be the system navigator and point of contact for patients and families regarding their appointments and authorizations for treatment. Assign patient rooms, reconcile schedules, and follow up with patients to reschedule or coordinate appointments.

Obtain insurance, medical, and demographic data and verify insurance coverage and benefit levels with third-party payors. Ensure accurate and correct insurance verification and authorizations have been obtained and work with physician offices and third-party payors to obtain referrals/authorizations for scheduled & unscheduled services as needed and secure inpatient visit notification to payors.

Follow up on bill holds to resolve in a timely manner. Thoroughly explain and secure Hospital and patient legal forms (i.e., Advance Directives, Conditions of Services, Consent for Treatment, EMTALA, Patient Responsibility, etc.). Scan protected health information and forms into EMR and/or related systems. Notify and educate patients about financial liabilities (co-payments, deductibles, or required deposits and payment plans) and collect the liability when applicable while employing proper patient liability collection techniques.

Post payments and maintain/reconcile cash drawer. Responsible for duties in support of departmental efficiencies including but not limited to collaborating with various departments in process and operational excellence.

Participate in patient access team in department huddles and report out on Methods, Equipment, Supplies, and Staffing (MESS). Responsible for continuing self-education regarding payer requirements and third-party regulations under limited guidance and assistance of department management. Maintain positive customer service at all times, refine, and clarify referring unresolved issues to appropriate supervisor.

Qualifications

High school diploma, associate degree in related area preferred.

Three or more years prior work experience in patient access, hospital registration, health insurance, or related area.

Two or more years prior experience in Customer Service or related call center environment preferred.

Advanced knowledge of third-party payers requirements, reimbursements, and copayments/deductible collections, etc.

Course in medical terminology required.

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.

Upon receipt of a conditional offer of employment, the applicant will be required to undergo a criminal background check.

Tenet participates in the E-Verify and Work Opportunity Tax Credit (WOTC) programs.

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