Financial Clearance Representative

Mclaren-Health-Care; Shelby Charter Township (MI); On-site; USD 21,000 - 30,000; Full time

Job summary

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a major integrated health care system offering a wide network of hospitals, clinics, and services across Michigan, Indiana and Ohio. The role supports financial clearance and patient registration for outpatient and inpatient services, ensuring accurate insurance data and timely payments.

The position requires a high school diploma and about one year of experience in patient access, with preferred familiarity in insurance

Qualifications

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

Responsibilities

• financially clears patients for each visit type, admit type and area of service via EMR.
• Interviews patients when scheduled for an elective, urgent, inpatient or outpatient procedure.
• Collects, documents, and scans required demographic and financial information.
• Obtains and verifies accurate insurance information, benefit validation and authorizations.
• Estimates and collects copays, deductibles, and other patient financial obligations.

Skills

Insurance verification

Authorization processes

Education

High school diploma or equivalent

Tools

EMR system

Electronic Eligibility System

Windows OS

Excel

Word

Outlook

Job description

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan's largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

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

• Schedule: Full-time
• Daily Work Times: 9:30AM-6:00PM
• On Call: No

Equal Opportunity Employer

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.