Patient Registration & Insurance Verification Specialist

McLaren Health Care; Grand Ledge (MI); On-site; USD 32,000 - 46,000; Full time

Job summary

McLaren Health Care is seeking a patient access professional to ensure accurate entry of registration data and perform on-line insurance verification in compliance with HIPAA. You will support McLaren Greater Lansing with excellent customer service and accurate documentation.

The role requires a high school diploma or equivalent, and experience in patient registration, billing, or related clerical work. Proficiency with Microsoft Office and Windows is preferred; day-to-day tasks include

Qualifications

• High school diploma or equivalent.
• Minimum of six months patient registration or billing experience in acute care setting or physician office; or two years clerical experience that includes data entry, customer service, and recordkeeping; or Associates Degree in Medical Insurance Billing and Coding or related field that includes courses in medical insurance billing and/or coding.
• Experience or coursework in medical terminology.
• Experience with Microsoft office and windows application.

Responsibilities

• Receives complete bed requests and communicates with Administrative Nursing Supervisor in a timely fashion to plan, prioritize and coordinate the admission and transfer of patients.
• Contacts physicians, physician offices, other healthcare agencies and other departments to obtain orders that meet medical necessity and/or are complete (includes patient name, test(s) ordered, reason for test or diagnosis, patient name and birth date, physician signature; and meets medical necessity per CMS guidelines using on-line medical necessity tool). Completes medical necessity ABN forms and issues notification when necessary.
• Collects, verifies and records patient demographic and insurance data prior to service if services are pre-scheduled. If services are not pre-scheduled, may obtain information at time of service. Obtains necessary signatures on all registration and insurance forms.
• Prepares and audits patient records to ensure that registration data is complete and accurate. Copies and distributes patient records as necessary.
• May collect patient co-pays, deductibles and deposits prior to or at time of service as appropriate. Assures that all self pay patients are directed to the Pre-Admission Review staff or the Financial Counselor.

Skills

Data entry

Customer service

Insurance verification

Medical terminology

Education

High school diploma or equivalent

Associates Degree in Medical Insurance Billing and Coding

Tools

Microsoft Office

Windows

Job description

McLaren Health Care is seeking a patient access professional to ensure accurate entry of registration data and perform on-line insurance verification in compliance with HIPAA. You will support McLaren Greater Lansing with excellent customer service and accurate documentation.

The role requires a high school diploma or equivalent, and experience in patient registration, billing, or related clerical work. Proficiency with Microsoft Office and Windows is preferred; day-to-day tasks include