Financial Clearance Representative

McLaren Health Care; Shelby Township (MI); On-site; USD 36,000 - 48,000; Full time

Job summary

McLaren Health Care is seeking a Patient Access Specialist to ensure accounts are financially cleared before service and to interview patients when scheduled for elective, urgent, inpatient or outpatient procedures. You will begin the patient billing process by collecting demographic and financial information and verifying insurance details.

This is a full-time role with daytime hours. Qualifications include a high school diploma and at least 1 year of related experience in patient access,

Qualifications

• High school diploma or equivalent required.
• One year experience in patient access, registration, billing or physician office.
• Preferred: experience with insurance verification and authorization tools.

Responsibilities

• Financially clears patients for each visit type and service area via EMR and verification tools.
• Registers patients accurately using interviewing techniques and guidelines.
• Initiates the patient experience and billing process by collecting and scanning demographic and financial information.
• Obtains and verifies insurance information, benefit validation and authorizations.
• Estimates and collects copays, deductibles and other patient financial obligations.
• Ensures compliance with hospital and department policies and Meaningful Use requirements.
• Applies recurring visit processing per protocol.
• Performs duties as assigned by management.

Skills

Patient access

Registration

Billing

EMR

Education

High school diploma

Tools

Windows OS

Excel

Word

Outlook

EMR system

Electronic Eligibility System

Payer websites

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.

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