Patient Access Representative job vacancy in Barbara Ann Karmanos Cancer Cn – Jobs in Michigan

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Job Details
Company Name : Barbara Ann Karmanos Cancer Cn
Company Location : Detroit, MI 48201
Job Position : Patient Access Representative
Job Category : Jobs in Michigan

Job Description :
Job Summary: Under general supervision, registers patients to center. Obtains insurance, medical and demographic data to register, pre-register, admit or pre-admit patients to the center. Verifies insurance coverage and benefit levels with various third party payors. Assists patients without medical insurance coverage in completing medical assistance applications and/or making payment arrangements and cash collections. Develops liaison relationship between patient and hospital by answering patients’ questions regarding hospital policies and billing procedures and by obtaining necessary information to efficiently admit and bill for hospital 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.

Responsibilities:

Greets or contacts patient; collects and verifies all necessary demographic, insurance and related data. Explains appropriate forms to patient and ensures that necessary forms are completed correctly and that patient signatures are obtained.
Collects referrals and authorizations; attempts to obtain referral by telephone if patient arrives without one. Verified insurance and obtains necessary authorization. Consults with lead Patient Registrar in assisting uninsured patients in making payment arrangements and cash collections. Consults Admitting Managers for permission to register indigent patients.
Contacts insurance companies to verify insurance coverage and benefit levels on all admissions. Responds to third party inquiries for various account information not normally supplied in the billing process. Obtains necessary information and signatures to verify insurance coverage and initiate a computer file on emergency and direct admissions.
Reviews physician reservation requests, diagnosis, availability of beds and other related factors to assign hospital beds according to designated service for scheduled, unscheduled and emergency patients. Prioritized which patients are to be admitted or transferred according to hospital policies.
Arranges outpatient appointments using knowledge of ancillary departments for all clinics and offices involved with Central Scheduling. Maintains appointment logbooks from participating ancillary departments.

Qualifications:

High school diploma
Six to twelve months previous work experience in an insurance, medical records, billing or related area to develop knowledge of healthcare admissions, and account policies as well as third party payors and social assistance policies and procedures.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans