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.

Outreach Reimbursement Specialist

📁
Administrative/Clerical
💼
McLaren Health Management Grp
📅
24002886 Requisition #
Position Summary:   
Responsible for ensuring that all laboratory outreach documentation necessary for billing and compliance is processed in a timely and accurate manner. This includes obtaining all necessary patient insurance, demographic and diagnostic information for input into the billing system to generate client, insurance reimbursement and patient invoices in a timely manner.  Monitor error log for any missing/incorrect information.
Essential Functions and Responsibilities:      
1. Responsible for data collection, compilation, computer input and generation of billing reports.
2. Answers telephone inquiries concerning benefits and payments from patients, guarantors or insurance companies
3. Verifies demographic information of patients to ensure accuracy of billing and charges.
4. Utilizes ICD/CDM/CPT coding system in assigning appropriate diagnostic codes.
5. Ensures proper notations are made on each account worked.
6. Completes patient registration process.
 
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
#LI-AK1

Required:
•    High school diploma or equivalent.
•    Certification as a Certified Professional Coder (CPC) in ICD and CPT coding; a Certified Billing & Coding Specialist (CBCS); or a Certified Coding  Associate (CCA).  
•    1 year previous clerical experience to include, data entry, and/or telephone customer service.
•    Experience in computer programs such as Word, Excel, and Power point.
•    Knowledge of Medical Terminology.
•    Data Entry Skills. 
   

Preferred:
•    Associate Degree.
•    1-2 years’ experience as a medical coder within a health care setting.
•    Previous experience working in a laboratory setting.
•    Knowledge of health insurances and regulations.

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.

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