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.
Patient Account Representative III
Position Summary:
Under general direction, the Patient Accounting Representative III is responsible for completing tasks associated with specific assignments. Specific job responsibilities will be in customer service, collections, cash posting, billing, etc. as assigned by CBO Management. Patient Accounting Representative III is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities. Employees in this position perform advanced patient accounting responsibilities and may serve as the department’s subject matter expert for assigned revenue cycle functions.
Essential Functions and Responsibilities as Assigned:
- Performs advanced and complex patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
- Serves as a subject matter expert and resource to department staff regarding patient accounting processes, payer requirements, account resolution, billing, follow-up, payment posting, refunds, reporting, documentation, and related revenue cycle functions.
- Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
- Processes, research, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim-related matters.
- Provides guidance, support and assistance to staff regarding workflow questions, account issues, payer requirements and departmental procedures.
- Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.
Qualifications:
Required:
- High School Diploma or GED
- 5-year experience in Finance/Accounting, Customer Service or Healthcare
Preferred:
· Associate Degree in Health Care, Finance or related area. Equivalent combination of education and relevant experience.
· Working knowledge of CPT, HCPCS, and ICD-10
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.
