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 Senior
Position Summary:
Responsible Chemotherapy Authorization and Financial Clearance of Chemotherapy patients. Assures patients are financially cleared prior to date of service. Provides direction and troubleshoots to find solutions for complex problems and issues. Navigate insurance verification.
Essential Functions and Responsibilities:
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Troubleshoots complex problems, issues as well as participates in finding solutions and provides direction in financial clearance the absence of the Patient Access leader.
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Facilitates Financial Clearance department discussions and provides input on projects and improvement of processes.
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Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools.
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Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines
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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.
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Responsible for obtaining and verifying accurate insurance information, benefit validation and authorizations.
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Estimates and collects copays, deductibles, and other patient financial obligations.
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Manages all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements.
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Applies recurring visit processing according to protocol.
Qualifications:
Required:
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High school diploma or equivalent required
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Four-years’ experience in medical terminology, insurance verification and authorization within a physician office, patient access, registration, or billing area
Preferred:
- One-year experience using Windows (Excel, Word, Outlook, etc.), an EMR system, Electronic Eligibility System and various websites for third party payers for verification
- Three years insurance verification and authorization experience.
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.
