Provide exceptional customer service to all patients/callers by offering assistance and ensuring customer satisfaction
Depending on assignment, answers patient calls for at least 50% of workday, effectively responds to patient inquiries via telephone encounter or through the patient portal, returns patient calls left on department voicemail, responds to patient correspondence received via mail, or works on accounts with early out vendor
Sees walk-in and scheduled patients and their families
Answers inbound customer phone calls for patients requiring financial assistance and direction/education
Works closely with inpatient staff (i.e. providers, social workers, admin managers) to resolve complex accounts and accounts sensitive in nature requiring high level of business acumen, empathy and personal integrity
Help eligible patients and families apply for Healthy Michigan Plan, Children Special Health Care Service, Medicaid and Washtenaw Health Plan
As a Certified Application Counselor through the Affordable Care Act, assist with private Health Insurance Marketplace applications and plan selection
Provide charge and out-of-pocket estimates for medical procedures and episodes of care
Ability to educate and explain to customers financial related items such as referrals, authorizations, waivers and Advanced Beneficiary Notices (ABNs)
May serve as a liaison in the community, providing education and offering financial assistance
Serve as the point person who links various areas of a complex health system into seamless service, coordinating communication between internal and external customers
Investigate patient financial problems to discover root causes and possible solutions via various hospital and payer systems
Read and interpret insurance plan benefits; explain benefits to patients, families and internal customers and interpret Michigan Medicine insurance plan participation status and explain how contract status impacts patient's/family's out-of-pocket costs
Investigate and resolve issues with third party payers including Medicare, Medicaid, Blue Cross/Blue Shield, commercial plans, motor vehicle coverage, worker?s compensation and COBRA
Identify performance improvement opportunities across revenue cycle including registration, clinic operations, information technology, charge entry, coding, documentation, billing, etc.
Create payment plans (within established guidelines) at the conclusion of each patient contact as appropriate
Committed to team efforts, quality improvement and lean thinking initiatives
Respond quickly and act professionally/appropriately in stressful situations including de-escalation
Able to handle challenging patients and customers effectively and professionally
Demonstrates personal integrity, enthusiasm and empathy to internal and external customers
Takes initiative in independently and effectively resolving a variety of complex billing issues and problems
- Demonstrate and communicate patient financial advocacy