Access Specialist

Access Specialist -

Embark on a rewarding career with DMC Children’s Hospital 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.

• 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

Be the system navigator and point of contact for patients and families regarding their appointments and authorizations for treatment. Assign patient rooms, reconcile schedules, follow up with patients to reschedule or coordinate appointments.

Obtain insurance, medical, and demographic data and verify insurance coverage and benefit levels with third‑party payors. Ensure accurate and correct insurance verification and authorizations have been obtained and work with physician offices and third‑party payors to obtain referrals/authorizations for scheduled & unscheduled services as needed and secure inpatient visit notification to payors.

Follow‑up on bill holds to resolve in a timely manner. Thoroughly explain and secure hospital and patient legal forms (i.e. Advance Directives, Conditions of Services, Consent for Treatment, EMTALA, Patient Responsibility, etc.). Scan protected health information and forms into EMR and/or related systems.

Notify and educate patients about financial liabilities (co‑payments, deductibles or required deposits and payment plans) and collect the liability when applicable while employing proper patient liability collection techniques.

Post payments and maintain/reconcile cash drawer. Perform duties in support of departmental efficiencies including but not limited to collaborating with various departments in process and operational excellence.

Participate in patient access team in department huddles and report out on Methods, Equipment, Supplies, and Staffing (MESS). Continue self‑education regarding payer requirements and third‑party regulations under limited guidance and assistance of department management. Maintain positive customer service at all times and refer unresolved issues to appropriate supervisor.

Children’s Hospital of Michigan is an international leader in pediatric and adolescent medicine. Surgical services include general, thoracic, reconstructive and cardiovascular. Imaging technology designed specifically for children provides advanced diagnostic services including Positron Emission Tomography (PET) and MRI. The Children’s Hospital of Michigan Emergency Department is a verified Level 1 Pediatric Trauma Center and dedicated pediatric burn center. Experts 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.

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.

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