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Detroit Medical Center · 1 week ago

Care Management Tech

Detroit, MI

Full-time

Onsite

Entry Level

1+ years exp

Detroit Medical Center is committed to providing exceptional patient care and is seeking a Care Management Tech to assist in Care Management functions. The role involves facilitating care coordination activities, communicating with third-party payers, and maintaining utilization review files for patients.

Health CareHospitalMedical

H1B Sponsor Likely

Responsibilities

Provides assistance to Care Management functions for the site

Participates as a member of the Care Management Team to facilitate process flow in care coordination activities and transition planning

Communicates with Third Party payers and other community resources to assist in the patient disposition process

Interfaces with Patient Financial Services on issues related to eligibility, benefit coverage, and appropriate provider

Performs input into various databases as appropriate for utilization management, LOS management and Denial Management activities

Audits data input and corrects errors, as needed

Investigates and responds to inquiries related to the authorization process, benefit coverage and general concerns regarding policies and procedures

Maintains necessary utilization review files for all patients in the hospital

Validates discharge dispositions and assists with issuing Medicare Important Message letters prior to discharge

Establishes and maintains effective relationships with physicians and all other staff members, internally and externally

Identifies problems or any dissatisfaction experienced by any customer or referring source and works to resolve them to a high degree of service excellence

Uses positive interpersonal skills to effectively resolve conflict

Promotes a positive customer relations environment

Performs related clerical/secretarial duties as needed

Qualification

Medical terminologyInsurance knowledgeData entryComputer skillsInterpersonal skillsWritten communicationOral communicationManual dexterityMathematical abilityCustomer relationsConflict resolution

Required

High school diploma or equivalent

One to two years related experience in an outpatient clinic or hospital setting, including six to twelve months of data entry experience

One to two years work experience in an insurance, medical records, billing or related area desirable

Medical Assistant certification, license to practice as a Licensed Practical Nurse (LPN), or college coursework in health care preferred

Additional training in computer applications preferred

Working knowledge of medical terminology desired

Interpersonal skills to effectively communicate with third party payers, hospital staff and various other internal/external contacts, and to answer telephone inquiries

Written and oral communication skills

Knowledge of managed care and referral processes

Manual dexterity to type and enter data using the computer

Ability to utilize computer systems; computer skills and knowledge of various software packages

Ability to push, pull and/or lift objects weighing up to 20 lbs

Ability to understand and apply various third party payer requirements, verification procedures and benefits

Ability to work within a complex environment and handle multiple priorities

Mathematical ability to perform basic calculations such as percentages, addition, multiplication, etc

Preferred

Medical Assistant certification, license to practice as a Licensed Practical Nurse (LPN), or college coursework in health care preferred

Additional training in computer applications preferred

Working knowledge of medical terminology desired

Benefits

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 C 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 C childcare, auto C home insurance.

Company

Detroit Medical Center

Glassdoor2.9

Detroit Medical Center is a hospital.

Founded in 1886

Detroit, Michigan, USA

10001+ employees

http://www.dmc.org/

H1B Sponsorship

Detroit Medical Center has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2020 (1)