Financial Clearance Representative

McLaren Health Care • Southfield, MI

2d

About The Position

Responsible for ensuring accounts are financially cleared before the date of service. Interviews patients scheduled for elective, urgent, inpatient, or outpatient procedures. Performs patient registration and financial clearance using the electronic medical record and electronic verification tools, following registration guidelines and compliance requirements.

Requirements

• High school diploma or equivalent.
• One year of experience in patient access, registration, billing, or a physician's office.

Nice To Haves

• One year of experience in insurance verification and authorization.
• Experience using Windows applications, including Excel, Word, and Outlook; an EMR system; an electronic eligibility system; and third-party payer websites for verification.

Responsibilities

• Financially clear patients for each visit type, admission type, and area of service using the EMR and electronic verification tools.
• Register patients accurately and efficiently using thorough interviewing techniques, appropriate patient status, and established registration guidelines.
• Collect, document, and scan required demographic and financial information to begin the patient experience and billing process for outpatient and inpatient services.
• Obtain and verify accurate insurance information, validate benefits, and obtain authorizations.
• Estimate and collect copayments, deductibles, and other patient financial obligations.
• Manage responsibilities within hospital and department compliance guidelines and in accordance with Meaningful Use requirements.
• Process recurring visits according to protocol.
• Perform other duties as assigned by management.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED