Financial Clearance Representative Senior

Position Summary:

Responsible for the initial receipt of core data elements for the completion of the pre-registration process for patients scheduled for inpatient and outpatient procedures. Assures patients are financially cleared prior to date of service. Provides direction and troubleshoots to find solutions for complex problems and issues.

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

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Per Diem

• Requisition ID: 24003053

• Daily Work Times: variable

• Hours Per Pay Period: 20

• On Call: No

• Weekends: No

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.