Patient Account Rep

Mclaren Health Care Lansing , MI 48907

Posted 4 weeks ago

Responsible for pre-registration, verifying insurance coverage, obtaining insurance authorizations, coordinating specific patient payment arrangements, and collecting deductibles and co-insurance following departmental and hospital policies and procedures; third party billing procedures, and regulatory agency requirements.


Essential Functions and Responsibilities:
  • Pre-registers patients and verifies insurance information with all payors. Determines benefits, deductibles, co-payments, patient out-of-pocket financial responsibilities and other policy requirements.

  • Obtains necessary pre-certification information from physician offices.

  • Instructs patients concerning financial obligations and assists with payment arrangements. Obtains co-pay and deductible information to determine any patient self-pay responsibility.

  • Collects patient payments following departmental guidelines.

  • Provides general clerical support such as answering the phone, data entry, and assembling, maintaining, and distributing various information related to the work.

  • Maintains files, logs, schedules, and other documentation related to the work.

  • Corrects and reconciles patient information on accounts that require adjustments.

  • Responsible for daily unverified report and assuring all accounts are verified prior to patient's scheduled procedure.

  • Must maintain a minimum of a 95% accuracy rate.

  • Performs other related responsibilities as necessary.

Required:

High school diploma or equivalent.

Post high school courses in insurance billing and medical terminology, two years of recent healthcare billing experience or 2 years of recent Patient Access experience required.

Preferred:

Experience with automated billing systems and on-line verification systems.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans.

Nicotine Testing - To provide a safe, healthy environment for our patients, employees and visitors, as of February 1, 2013 McLaren no longer hires individuals who use nicotine and will conduct nicotine testing during the pre-employment process. If the test is positive the offer will be rescinded. Individuals who test positive may re-apply for employment after six months.

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Patient Account Rep

Mclaren Health Care