About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, 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, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Financial Clearance Representative
Position Summary: Responsible for ensuring accounts are financially cleared prior to the date of service. Interview's 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
- Two-years’ experience in a physician office, patient access, registration, or billing area
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
- Six months experience using medical terminology
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
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.
