Financial Clearance Representative

McLaren; Shelby Charter Township (MI); On-site; USD 38,000 - 52,000; Full time

Job summary

McLaren is seeking a detail-oriented Patient Access Specialist to ensure financial clearance before services. You will interview patients, collect demographics, and begin the billing process for outpatient and inpatient visits.

The role requires accurate insurance verification, benefit validation, and up-to-date authorization management, with emphasis on compliant, efficient registration in the EMR system. Schedule: full-time, daytime hours.

Qualifications

• High school diploma or equivalent required.
• One year experience in patient access, registration, billing or physician office.
• Experience with insurance verification and authorization using Windows apps and EMR systems is preferred.

Responsibilities

• Financially clears patients for each visit type via the EMR and verification tools.
• Accurately and efficiently performs registration using interviewing techniques and guidelines.
• Starts the patient experience and billing process by collecting and documenting demographic and financial information.
• Obtains and verifies accurate insurance information, benefits, and authorizations.
• Estimates and collects copays, deductibles, and other patient financial obligations.
• Ensures compliance with hospital and department guidelines and Meaningful Use requirements.
• Applies recurring visit processing according to protocol.
• Performs duties as assigned by management.

Skills

Patient interviewing

Registration accuracy

Insurance verification

Billing basics

Education

High school diploma or equivalent

Tools

EMR system

Electronic Eligibility System

Windows applications (Excel/Word/Outlook)

Job description

Position Summary:

Responsible for ensuring accounts are financially cleared prior to the date of service. Interview patients when scheduled for an elective, urgent, inpatient or outpatient procedure.

Essential Functions and Responsibilities:

• Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools.
• Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines.
• Starts the overall patient’s experience and billing process for outpatient and inpatient services by collecting, documenting, and scanning all required demographic and financial information.
• Responsible for obtaining and verifying accurate insurance information, benefit validation and authorizations.
• Estimates and collects copays, deductibles, and other patient financial obligations.
• Manages all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements.
• Applies recurring visit processing according to protocol.
• Performs duties otherwise assigned by management.

Qualifications:

++Required:++

• High school diploma or equivalent required
• One year experience in patient access, registration, billing or physician office

++Preferred:++

• One-year experience in insurance verification and authorization using Windows (Excel, Word, Outlook, etc.), an EMR system, Electronic Eligibility System and various websites for third party payers for verification

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Requisition ID: 26010875
• Daily Work Times: 8am – 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No