Manages the personnel and operational activities of the DMC's Health Access Center. Oversees tele-health services including, but not limited to, physician, diagnostic and program appointment scheduling, physician specialty consult line requests, educational classes/seminar schedules, physician/program/patient satisfaction surveys and pre-appointment/scheduling reminders. Oversees the insurance verification process and monitors established policies and procedures governing registration and insurance verification. Assures accurate input of insurance information to generate correct claim forms. Maintains knowledge of health insurance programs in order to resolve problems associated with insurance coverage and to counsel patients on possible financial liability for health care services. Oversees financial counseling of uninsured patients for Medicare/Medicaid eligibility. Develops marketing reports to assist in analyzing new and existing programs throughout the DMC. Drafts policy provisions and provides interpretation of department policies. Identifies the need for and drafts or defines procedures/protocols in collaboration with higher management input, goals and objectives; modifies procedures/protocols as necessary. Monitors the quality and quantity of work flow to ensure work is completed. Analyzes data to recommend changes staffing levels during call center hours of operation. Initiates or recommends personnel actions such as hires, fires, disciplines, etc. Completes performance appraisals. Assists in the development of daily, monthly and/or yearly goals and measures for department, and as requested, assists in assessment of goal attainment. Assists in developing and monitoring budget. Monitors activities for and ensures compliance with laws, government regulations, JCAHO requirements and DMC policies. As directed, implements external and internal audit recommendations. Ensures hospital departments achieve objectives for diversity of their suppliers.
1. Bachelor's degree in Accounting, Finance or Business Administration or related field, or equivalent combination of education and experience.
2. Two to three years progressively more responsible related experience, including supervisory/leadership experience.
Primary Location: Detroit, Michigan
Facility: Detroit Medical Center Shared Services
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��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.
Internal Number: 2105010685
About Detroit Medical Center Shared Services
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.