Pre Service Specialist

Description:

Positions Location: Lansing, MI

Job Description

General Purpose of Job:

The Pre-Service Specialist's main objective is to accurately schedule and pre-register patients for Sparrow Health System and secure patient payments for those services. Responsibilities include: scheduling patient appointments, providing pre-registration, verification of insurance, obtaining insurance authorizations, collecting patient payments, providing estimates, entering ICD-10 codes and completing appropriate medical necessity checking.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Interview patients and/or physician offices for the purpose of scheduling and pre-registration. Collect accurate demographic and financial information to assist with billing requirements.

• Enter appropriate ICD-10 codes for registration and billing purposes at the point of scheduling and registration.

• Verify medical necessity checks upon scheduling a patient.

• Verify insurance eligibility and covered benefits.

• Collect and verify necessary insurance authorizations.

• Educate the patient as to their financial responsibility prior to the point of service. Provide estimates for services as requested by the patient.

• Collect pre-payment for hospital services that are not covered by the patient's insurance, including co-pays, deductibles, or prior patient balances. Set up payment arrangements with patients when appropriate.

• Process accounts held internally or rejected by payers for errors related to registration, authorization and financial clearance activities.

Job Requirements

General Requirements • None Work Experience • Experience must be in one of the following areas: billing, health insurance verification, ICD-10 coding, medical necessity checking, authorizations and copay collections. • Experience in customer service or call center preferred Education • Associate Degree in health care billing, accounting or business and a minimum of 1 year of health care scheduling and patient registration experience; OR High School Diploma/GED and a minimum of 3 years of health related experience in billing, registration and scheduling. Specialized Knowledge and Skills • Excellent word processing and computer typing skills. • Demonstrated interpersonal and communication skills • Completion of Medical Terminology course preferred. • Must pass a medical terminology assessment test with 80% or greater. • Must successfully complete customer service skills test with 85% or greater. • Must successfully complete analytical skills assessment test with 70% or greater.

University of Michigan Health - Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

Location: Sparrow Hospital

Activation Date: Tuesday, July 2, 2024

Expiration Date: Tuesday, October 1, 2024

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