Financial Clearance Representative

McLaren Health Care; Shelby Township (MI); On-site; USD 30,000 - 45,000; Full time

Job summary

McLaren Health Care in Shelby Township, Michigan is seeking a Full-time role responsible for financially clearing patients prior to services. You will perform registration and verify insurance information while ensuring compliance with hospital guidelines.

The candidate must have a high school diploma and one year of relevant experience. Proficiency in electronic systems such as EMR is essential. The work schedule is from 8 AM to 4:30 PM, with a total of 80 hours per pay period.

Qualifications

• One year of experience in patient access, registration, billing, or physician office.
• Experience with insurance verification and authorization preferred.

Responsibilities

• Financially clear patients for services via EMR and verification tools.
• Perform registration using thorough interviewing techniques.
• Collect and document required demographic and financial information.
• Verify accurate insurance information and collect copays.

Skills

Patient registration

Insurance verification

Financial obligation collection

Education

High school diploma or equivalent

Tools

Electronic Medical Record (EMR)

Windows (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 clear patients for each visit type, admit type and area of service via the Electronic Medical Record (EMR), electronic verification tools.
• Accurately and efficiently perform registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines.
• Start the overall patient’s experience and billing process for outpatient and inpatient services by collecting, documenting, and scanning all required demographic and financial information.
• Obtain and verify accurate insurance information, benefit validation and authorizations.
• Estimate and collect copays, deductibles, and other patient financial obligations.
• Manage all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements.
• Apply recurring visit processing according to protocol.
• Perform duties otherwise assigned by management.

Qualifications

Required:

• High school diploma or equivalent.
• 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: 26003586
• Daily Work Times: 8a - 4:30p
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No