Job Information
McLaren Health Care Financial Clearance Representative Senior - McLaren Careers in Southfield, Michigan
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:
Troubleshoots complex problems, issues as well as participates in finding solutions and provides direction in financial clearance the absence of the Patient Access leader.
Facilitates Financial Clearance department discussions and provides input on projects and improvement of processes.
Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools.
Accurately and efficiently performs registration using thorough interviewing techniques, registering patients in appropriate status, and following registration guidelines
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.
Responsible for obtaining and verifying accurate insurance information, benefit validation and authorizations.
Estimates and collects copays, deductibles, and other patient financial obligations.
Manages all responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements.
Applies recurring visit processing according to protocol.
Qualifications:
Required:
High school diploma or equivalent required
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