Job type full-time
Full job description
Remote work 100% after successful completion of job orientation.
Children’s hospital of michigan is an international leader in pediatric and adolescent medicineSurgical services include general, thoracic, reconstructive and cardiovascularImaging technology designed specifically for children provides advanced diagnostic services including positron emission tomography (pet) and mriThe children’s hospital of michigan emergency department is a verified level 1 pediatric trauma center and dedicated pediatric burn centerExperts 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.
Under general direction and according to established policies and procedures, answers incoming calls and initiates outbound calling for the assigned department to include physician/program/patient satisfaction surveys and pre-appointment/scheduling remindersProvides tele-health services including, but not limited to, physician, diagnostic, program appointment scheduling, physician specialty consult line requests and educational classes/seminar schedulesResponds to inquiries and/or refers the caller to the appropriate physician, department or program based on information provided by the callerIdentifies calls of a serious/urgent nature and directs them to an urgent/emergent care environment or triage function as appropriateInterprets customer needs and utilizes a computerized database to assist in arranging for resources to achieve customer satisfactionUtilizes existing database marketing identifiers as a tool to aid the patient in more effectively achieving quality of life through enhanced/managed care assistance by properly identifying related support programs and treatment optionsCollects and verifies all necessary demographic insurance and related dataVerifies insurance coverage and benefit levels, obtains and analyzes necessary authorizations and referrals, and calculates estimated patient liability for call transactionsExplains how to complete appropriate forms to patient and/or family to ensure the necessary consent forms and patient signatures are obtainedProvides financial counseling services to assist patients in identifying and obtaining payment sourcesCompletes charge entry, reviews, monitors and reconciles patient accounts to ensure accurate billing productionEnsures compliance with third party payor requirementsReconciles and corrects user specific reportsEstablishes and maintains contacts with dmc representatives and physicians` office staff in order to become familiar with their needs and concerns through the physician liaison programGenerates database, word processing and spreadsheet marketing reportsMaintains patient service records and conducts routine database profile updates, data management/accuracy audits, and inter-departmental synchronizing of frequently changing informationParticipates with other members of the department in continuous quality improvements that lead to achieving and sustaining high levels of customer satisfactionActs as a community liaison through participation in dmc sponsored health initiatives.
1High school diploma or equivalentTwo to five years of college level course work and/or related experience in health care field preferred.
2Two years of experience with direct patient and/or physician contact in a clinical or administrative setting, or at least one year of experience with direct patient and/or physician contact in a clinical or administrative setting working with the same software program and customer base as the dmc call center.
3Two to five progressive years of work experience in insurance, medical record, billing or related area preferred.
Job: non-clinical/administrative primary location: detroit, michigan facility: dmc children`s hospital of michigan job type: full-time shift type: days
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 statusTenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.