Call Center Advisor - Health Acess Center at Tenet Healthcare

Detroit, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

09 Jun, 26

Salary

0.0

Posted On

11 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Call Handling, Tele-health Services, Appointment Scheduling, Inquiry Response, Urgent Call Identification, Database Utilization, Demographic Data Collection, Insurance Verification, Authorization Obtaining, Referral Management, Patient Liability Calculation, Financial Counseling, Charge Entry, Account Reconciliation, Compliance, Report Generation

Industry

Hospitals and Health Care

Description

Detroit Medical Center Shared Services is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients. 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. Note: Eligibility for benefits may vary by location and is determined by employment status Job Summary 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 reminders. Responsibilities Provides tele-health services including, but not limited to, physician, diagnostic, program appointment scheduling, physician specialty consult line requests and educational classes/seminar schedules. Responds to inquiries and/or refers the caller to the appropriate physician, department or program based on information provided by the caller. Identifies calls of a serious/urgent nature and directs them to an urgent/emergent care environment or Triage function as appropriate. Interprets customer needs and utilizes a computerized database to assist in arranging for resources to achieve customer satisfaction. Utilizes 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 options. Collects and verifies all necessary demographic insurance and related data. Verifies insurance coverage and benefit levels, obtains and analyzes necessary authorizations and referrals, and calculates estimated patient liability for call transactions. Explains how to complete appropriate forms to patient and/or family to ensure the necessary consent forms and patient signatures are obtained. Provides financial counseling services to assist patients in identifying and obtaining payment sources. Completes charge entry, reviews, monitors and reconciles patient accounts to ensure accurate billing production. Ensures compliance with third party payor requirements. Reconciles and corrects user specific reports. Establishes and maintains contacts with DMC representatives and physicians office staff in order to become familiar with their needs and concerns through the Physician Liaison Program. Generates database, word processing and spreadsheet marketing reports. Maintains patient service records and conducts routine database profile updates, data management/accuracy audits, and inter-departmental synchronizing of frequently changing information. Participates with other members of the department in continuous quality improvements that lead to achieving and sustaining high levels of customer satisfaction. Acts as a community liaison through participation in DMC sponsored health initiatives. 1. High school diploma or equivalent. Two to five years of college level course work and/or related experience in health care field preferred. 2. Two 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. 3. Two to five progressive years of work experience in insurance, medical record, billing or related area preferred. Facility Description The Detroit Medical Center (DMC) is a nationally recognized health care system that serves patients and families throughout Michigan and beyond. A premier healthcare resource, our mission is to help people live happier, healthier lives. The hospitals of the Detroit Medical Center are the Children's Hospital of Michigan, Detroit Receiving Hospital, Harper University Hospital, Hutzel Women's Hospital, the DMC Heart Hospital, Huron Valley-Sinai Hospital, the Rehabilitation Institute of Michigan and Sinai-Grace Hospital. DMC's 150-year legacy of medical excellence and service provides patients and families world-class care in cardiovascular health, women's services, neurosciences, stroke treatment, orthopedics, pediatrics, rehabilitation, organ transplant and other general and specialty services. DMC is a key partner in Detroit's resurgence, which continues to draw national and international attention. A dedicated corporate citizen with strong community ties, DMC is one of the largest and most diverse employers in Southeast Michigan. 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

Responsibilities

The advisor answers incoming calls and initiates outbound calls for surveys and reminders, while also providing telehealth services such as scheduling appointments and responding to inquiries. Key duties include verifying insurance, calculating patient liability, providing financial counseling, and ensuring compliance with third-party payor requirements.