Patient Management Coordinator Healthclub Full Time Days

Description

DMC Rehabilitation Institute of Michiganis one of the nation’s largest hospitals specializing in rehabilitation medicine and research. RIM is known for its clinical expertise in spinal cord injury, brain injury, stroke, amputee, orthopedics and catastrophic injury care. The Institute houses the Center for Spinal Cord Injury Recovery and the Southeastern Michigan Traumatic Brain Injury System (SEMTBIS), one of only 16 federally designated model systems of care for brain injury care and research. RIM also operates 31 outpatient sites throughout southeast Michigan specializing in sports medicine and orthopedics.

Job Summary

Under general supervision, coordinates, performs the work of and provides leadership for Patient Access Management operations which includes personnel engaged in scheduling, registration, insurance verification and financial counseling of patients to the health care facility.

• Ensures patient registrations conform to eligibility criteria and standards defined by the health care facility, physicians and third party payors.
• Functions as a lead and resource person for patient registration, unbilled account management and financial counseling applications.
• Participates in the selection, scheduling, evaluating and monitoring the work of Patient Management staff. Assists Management with completing monthly schedules and payroll.
• Reviews patient accounts for accurate collection of demographic data. Ensures insurance verification and authorizations have been obtained.
• Confirms insurance coverage; secures necessary authorization by telephone, computer connection or mail when required.
• Resolves complex eligibility or insurance verification problems through contact with patients family; state, local or government agencies; other hospital departments; and third party payors.
• Provides continuous education for staff.
• Conducts training classes and educational in-services for peer group employees and employees from other health facilities within the DMC, as needed.
• Reviews and monitors resource utilization and recommends appropriate scheduling adjustments.
• Prepares and distributes up-to-date departmental reports to providers and ancillary departments.
• Monitors completion and accuracy of operational reports and takes corrective action.
• Coordinates work procedures and protocols with other DMC operating units as required. Coordinates and participates in special projects, as assigned.
• Performs other duties as assigned.

1. Associates Degree or specialty training in a related field. OR

2. Three to five years of progressively more responsible Patient Management experience in scheduling, registration, insurance verification or related area.

3. Working knowledge of medical terminology and coding.