Patient Management Clerical Associate Full Time Evenings

Patient Management Clerical Associate Full Time Evenings at Tenet Healthcare

• Greets or contacts patient; collects and verifies all necessary demographic insurance and related data
• Schedules appointments, generates appointment notices, reschedules and posts cancellations; determines appropriate service settings in accordance with established policies and procedures
• Verifies insurance coverage and benefit levels; secures authorizations and referrals; assesses patient liability amounts
• Provides financial counseling services to assist patients in identifying and obtaining alternate payment sources
• Reviews, monitors, and reconciles collected demographic and insurance data in order to ensure accurate bill production
• Ensures compliance with third party payer requirements
• Reconciles and corrects rejected erroneous data transactions as displayed on Transmission, Control and Errors (TCE) reports
• 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
• Maintains patient service records and performs related duties as requested
• Participates in bed management as defined by operating unit policies and procedures
• Communicates clinical, financial, and administrative information
• Assists nursing and technical staff in screening patients and performs a variety of moderately to highly complex patient registration duties
• 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

• High school diploma or equivalent
• One to two years work experience in hospital healthcare insurance, medical records, billing or related area desirable
• Working knowledge of medical terminology desired
• A strong commitment to the DMC customer service standards

• Verifies insurance coverage and benefit levels
• Assists patients in completing medical assistance applications and/or making payment arrangements
• 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
• 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

Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine