Health Care Representative

MSU Careers Details•East Lansing, MI

About The Position

Performs administrative functions for a clinic or medical office. Serves patients by greeting them and assisting with appointment scheduling, record and account maintenance, and obtaining and verifying insurance eligibility to support timely, accurate payment for services. Processes patient arrivals to meet scheduling timeframes and support office operations. Registers new patients, updates existing demographic and financial information, checks insurance eligibility, and completes patient registration. Facilitates patient flow by notifying providers of arrivals, tracking delays, and communicating with patients and clinical staff. Prepares and explains patient materials and office policies, documents in the electronic medical record, and obtains and scans patient information. Processes medical record requests, insurance authorizations, and referrals; explains financial requirements; and collects office visit payments while maintaining financial transaction records. Schedules and tracks appointments, answers clinic phone calls and directs questions to appropriate areas, receives and distributes clinical office mail, and performs filing. Participates in patient quality initiatives related to patient encounters, reimbursement, and accurate first-time entry. Performs other duties as assigned.

Requirements

Knowledge normally acquired through a high school education, at least one year of related and progressively more responsible or expansive work experience in a medical office, medical clinic, or mental health office, or an equivalent combination of education and experience.
Strong desire and/or experience working with a patient population that is socially, financially, and ethnically diverse.
Ability to work independently and collaboratively with minimal supervision and complete assignments accurately.

Nice To Haves

Familiarity with medical terminology.
Experience scheduling, screening, and confirming medical appointments using a computerized information system.
Current or prior experience obtaining or checking authorizations.
Experience scanning documents and handling a multi-line phone system.
One year of work-related experience in a medical office clinical setting with medical terminology.

Responsibilities

Register new patients and update existing patient demographic information, including personal and financial details.
Perform insurance eligibility checks at initial visits and as required by policy; correct and update established-patient information.
Facilitate patient flow by notifying providers of arrivals, monitoring delays, and communicating with patients and clinical staff.
Prepare patient materials and educate patients or their representatives about materials, policies, and procedures.
Document information in the patient electronic medical record; complete registration and enter health insurance information.
Obtain and scan patient information.
Process medical record requests, insurance authorizations, and referrals.
Explain financial requirements and collect office visit payments from patients or their representatives; maintain records of patient financial transactions.
Participate in patient quality initiatives related to encounters, reimbursement, and accuracy of first-time entry.
Schedule and track patient appointments.
Answer clinic phone calls, respond to questions within compliance requirements, and direct other questions to appropriate areas of expertise.
Receive and disseminate clinical office mail.
Perform clinical office filing for record-keeping purposes.
Perform other duties as assigned.