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.
Responsible for accurate entry of all patient registration data, and performing on-line insurance verification in accordance with HIPAA and compliance regulations. Responsible for maintaining, promoting and exhibiting excellent customer service for McLaren Greater Lansing.
Responsibilities:
•Receives complete bed requests and communicates with Administrative Nursing Supervisor in a timely fashion to plan, prioritize and coordinate the admission and transfer of patients.
•Contacts physicians, physician offices, other healthcare agencies and other departments to obtain orders that meet medical necessity and/or are complete (includes patient name, test(s) ordered, reason for test or diagnosis, patient name and birth date, physician signature; and meets medical necessity per CMS guidelines using on-line medical necessity tool). Completes medical necessity ABN forms and issues notification when necessary.
•Collects, verifies and records patient demographic and insurance data prior to service if services are pre-scheduled. If services are not pre-scheduled, may obtain information at time of service. Obtains necessary signatures on all registration and insurance forms.
•Prepares and audits patient records to ensure that registration data is complete and accurate. Copies and distributes patient records as necessary.
•May collect patient co-pays, deductibles and deposits prior to or at time of service as appropriate. Assures that all self pay patients are directed to the Pre-Admission Review staff or the Financial Counselor.
Required:
•High school diploma or equivalent.
•Minimum of six months patient registration or billing experience in acute care setting or physician office; or two years clerical experience that includes data entry, customer service, and recordkeeping; or Associates Degree in Medical Insurance Billing and Coding or related field that includes courses in medical insurance billing and/or coding.
•Experience or coursework in medical terminology.
•Experience with Microsoft office and windows application.
Preferred:
•Associates Degree.
•Two years experience in patient registration.
Additional Information
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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