Financial Clearance Representative

McLaren Health Care; Southfield (MI); Sur place; USD 32 000 - 42 000; Plein temps

Résumé du poste

McLaren Health Care in Michigan is hiring for a Patient Access Representative to ensure accurate registration and financial clearance before service. You will interview patients, collect and verify insurance information, obtain authorizations, and estimate copays and deductibles as part of the billing process for outpatient and inpatient visits.

The role requires a high school diploma and at least one year of experience in patient access, registration, billing, or a physician office; familiarity

Qualifications

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

Responsabilités

• 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.

Formation

High school diploma or equivalent

Description du poste

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, 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 center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.

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
• Daily Work Times: 8am-4:30pm
• On Call: No

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.

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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.