Ascension Health Representative - Insurance in Novi, Michigan

We Are Hiring

Representative - Insurance - Park Sleep Medicine - Full-Time,Rotating - Ascension Providence Hospital, Novi Campus - 34015 - Novi,MI -Monday through Thursday 7am to 4pm, Friday 7am to 1pm

Why Join Ascension?

AscensionMichiganis a member of Ascension Health, the largest not-for-profit Catholic Health system in the United States.

Our Mission, Vision and Values: Ascension Michigan, as a Catholic health ministry, is committed to providing spiritually centered, holistic care which sustains and improves the health of individuals in the communities we serve, with special attention to the poor and vulnerable.

Our Values: We are called to: Service of the Poor, Reverence, Integrity, Wisdom, Creativity and Dedication

Our Vision: Our passion for healing calls us to cultivate trust, advocate wellness, and transform healthcare.

What You Will Do

As an Insurance Representative with Ascension Providence Hospital, Novi Campus, you will have the opportunity to determineand verifyinsurance coverage and coordination of benefits from all sources.

You will:

  • Confirminsurance coverage. Determinenecessity for pre-authorization and obtains authorization for scheduled procedures.

  • Enterpatient insurance information into the patient record and documents insurance coverage of services to be provided.

  • Determinefinancial responsibility for services to be provided. Notifypatients and/or practitioners of any services requested and/or referred that are not authorized by insurance.

  • Communicatewith patients and practitioners regarding financial responsibility and insurance coverage issues.

  • Conductinsurance verification tasks: calling to determine eligible benefits, start/end date of contract, pre-existing or direct exclusion components, referral requirements, determine deductibles, co-pay requirements, out-of-pocket expense requirements and informpatients without insurance or without bariatric surgery coverage of our self-pay program.

  • Continual follow-up with patient on required testing to obtain results/reports. Communicate status to team members on a continual basis, provide medical record to RN and physician for review of all results/reports. Ensurecompletion of process checklist before scheduling surgery. Notify clinical team regarding any discrepancies and seek to provide resolution.

  • Lead, coordinate, and planexternal community events including seminars and marketing events.

  • Maintainand updateknowledge of various insurance requirements related to bariatric surgery. Keepteam members informed of insurance changes. Communicatethese changes to patients, physicians and administration.

What You Will Need

Licenses/Certifications/Registration:

  • Preferred Credential(s):

  • Certified Professional Coder preferred.

Education:

  • High school diploma or equivalent required Associate's degree preferred

Work Experience:

  • One year of work experience required. Insurance verification/authorization experience preferred.

Equal Employment Opportunity

Ascension Michiganis an equal opportunity and affirmative action employer. We provide equal employment opportunities to all associates and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, height, weight, genetic information, marital status, amnesty, veteran status or any other legally protected status in accordance with applicable federal, state and local laws. The information requested on this application will not be used for any purpose prohibited by law. If you require assistance or an accommodation to complete this application, please let us know.

For further information regarding your EEO rights, click on the following link to the “EEO is the Law” poster:

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/eeopost.pdf

M/F/Disabled/Vet

EEO is the Law Poster Supplement

http://www.dol.gov/ofccp/regs/compliance/posters/pdf/ofccpeeosupplementfinaljrfqa508c.pdf

Reasonable AccommodationAscension Michiganprovides reasonable accommodation so that qualified applicants with a disability may participate in the selection process. Please advise us of any accommodations you request in order to express interest in a position by e-mailing: reasonableaccommodations@stjohn.org. Please state your request for assistance in your message. Only reasonable accommodation requests related to applying for a specific position within Ascension Michigan will be reviewed at the e-mail address supplied.Thank you for considering a career with Ascension Michigan.

Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

Ascension Michiganparticipates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify (link to E-verify site)

REQNUMBER: 286888-1A