About Us
McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, 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 centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.
Insurance Verification Specialist (Lapeer Oncology)
Position Summary:
The Insurance Verification Specialist is responsible for participating in hospital activities that directs customers, collects patient demographic and insurance information and processes that information via an internal computer system for collections and reimbursement.
General Requirements:
1) Demonstrates characteristics that support the values, vision, mission, policies and procedures of McLaren Oakland.
2) Provides service excellence standards:
a) Responds promptly, professionally and courteously to all customers’ needs.
b) Cooperates and communicates effectively with all McLaren Oakland team members.
c) Contributes to continuous quality improvement efforts.
3) Organizes time and prioritizes effectively.
4) Completes tasks accurately and timely.
5) Flexes to meet department needs and objectives.
6) Practices cost effective measures.
7) Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.
8) Complies with HIPAA regulations and Patient Bill of Rights.
9) Follows all safety and health standards.
10) Maintains responsibility for own professional development
Essential Functions and Responsibilities:
1) Interprets patient/visitor requests for services.
2) Meets with patient/representative to obtain necessary registration/insurance information.
3) Verifies insurance for all Inpatient, Outpatient Surgery and others as necessary.
4) Work closely with Case Management and Patient Accounting to secure hospital payment.
5) Coordinates request for application of payment assistance.
6) Performs other related duties as assigned .
7) Reports equipment failure to designated repair source.
Qualifications:
Required:
- High School Graduate or equivalent.
- One year experience in an insurance health care setting
Knowledge, Skills, and Abilities:
- Extensive contact with department staff and various McLaren Oakland staff members.
- May come in contact with physicians, patients and/or patients’ families.
- Ability to interpret insurance benefits and apply them to patient services.
- Excellent oral and written communication skills.
- Ability to multi-task, work under pressure and maintain calm composure with customers.
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.
