What are the responsibilities and job description for the Patient Access Rep II - Crown Pointe position at Detroit Medical Center?
Embark on a rewarding career with DMC Rehabilitation Institute 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
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
Job Summary / Responsibilities
Under limited supervision functions as a resource to Patient Access Representative I. Provides training and orientation on department methods, procedures and policies. Provides input for establishing departmental policies and procedures. In conjunction with Lead, resolves complex eligibility or insurance verification problems through contacts with patient or patient family, state or government agencies, other hospital departments and third party payers.
Assists Financial Counselor with financial counseling services to help patients in identifying and obtaining payment sources. Resolves complex and/or sensitive issues and recommends appropriate actions. Participates in bed management as defined in operating unit policies and procedures. Verifies insurance coverage and benefits, obtains and analyzes necessary authorizations and referrals, and calculates estimated patient liability. Reviews, monitors, and reconciles patient accounts to ensure accurate bill production.
Ensures compliance with third party payer requirements. Registers and schedules patients for health services ensuring appropriateness of setting for services provided Explains appropriate forms to patient and family and ensures that necessary consent, regulatory forms, and MSP questionnaire (if applicable) are completed correctly and that patient signatures are obtained. Obtains accurate insurance, medical and demographic data to admit or pre-admit patients to the health facility. Verifies insurance coverage and benefit levels with various third party payers and analyzes authorization and referrals, calculates estimated patient liability.
Determines patient co-pay/deductibles and collects payment as outlined in hospital policies. Assists patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangement and cash collections. Coordinates scheduling of all tests and/or services utilizing current clinical guidelines.
Develops liaison relationship between patient and health facility by answering patients questions regarding health facility policies and billing procedures 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 needed. Collects referrals and authorizations; attempts to secure telephone referral if necessary.
Completes telephone registrations as appropriate. Resolves bill holds in a timely manner to ensure completion within 5-day bill hold reconciles and corrects any rejected transactions on user specific Transmission, Control and Errors (TCE) reports. Assist and participates in special projects as assigned. Communicates clinical, financial, and administrative information. Performs duties of Lead as requested. Performs other duties as assigned.
Qualifications
specializing in sports medicine and orthopedics.
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: Patient Access/Admitting
Primary Location: Detroit, Michigan
Facility: DMC Rehabilitation Institute of Michigan
Job Type: Full Time
Shift Type: Day
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.
2506003768
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.
Benefits Statement
At Tenet Healthcare, we understand that our greatest asset is our dedicated team of professionals. That’s why we offer more than a job – we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include:
- 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.
Job Summary / Responsibilities
Under limited supervision functions as a resource to Patient Access Representative I. Provides training and orientation on department methods, procedures and policies. Provides input for establishing departmental policies and procedures. In conjunction with Lead, resolves complex eligibility or insurance verification problems through contacts with patient or patient family, state or government agencies, other hospital departments and third party payers.
Assists Financial Counselor with financial counseling services to help patients in identifying and obtaining payment sources. Resolves complex and/or sensitive issues and recommends appropriate actions. Participates in bed management as defined in operating unit policies and procedures. Verifies insurance coverage and benefits, obtains and analyzes necessary authorizations and referrals, and calculates estimated patient liability. Reviews, monitors, and reconciles patient accounts to ensure accurate bill production.
Ensures compliance with third party payer requirements. Registers and schedules patients for health services ensuring appropriateness of setting for services provided Explains appropriate forms to patient and family and ensures that necessary consent, regulatory forms, and MSP questionnaire (if applicable) are completed correctly and that patient signatures are obtained. Obtains accurate insurance, medical and demographic data to admit or pre-admit patients to the health facility. Verifies insurance coverage and benefit levels with various third party payers and analyzes authorization and referrals, calculates estimated patient liability.
Determines patient co-pay/deductibles and collects payment as outlined in hospital policies. Assists patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangement and cash collections. Coordinates scheduling of all tests and/or services utilizing current clinical guidelines.
Develops liaison relationship between patient and health facility by answering patients questions regarding health facility policies and billing procedures 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 needed. Collects referrals and authorizations; attempts to secure telephone referral if necessary.
Completes telephone registrations as appropriate. Resolves bill holds in a timely manner to ensure completion within 5-day bill hold reconciles and corrects any rejected transactions on user specific Transmission, Control and Errors (TCE) reports. Assist and participates in special projects as assigned. Communicates clinical, financial, and administrative information. Performs duties of Lead as requested. Performs other duties as assigned.
Qualifications
- High school diploma, associate degree in related area desired.
- Two to three years of progressively more responsible experience in patient access, hospital registration or related area.
- Advanced knowledge of third party payers requirements, reimbursements and copayments/deductible collections etc.
specializing in sports medicine and orthopedics.
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: Patient Access/Admitting
Primary Location: Detroit, Michigan
Facility: DMC Rehabilitation Institute of Michigan
Job Type: Full Time
Shift Type: Day
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.
2506003768
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.