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Financial Clearance Representative - Hybrid / Remote

Financial Clearance Representative - Hybrid / Remote

McLaren HealthShelby, MI, US
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Administrative / Clerical

Position Summary :

Responsible for ensuring accounts are financially cleared prior to the date of service. Interview patients when scheduled for an elective, urgent, inpatient or outpatient procedure.

Essential Functions and Responsibilities :

  • 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.
  • Performs duties otherwise assigned by management.

Qualifications :

  • High school diploma or equivalent required
  • One year experience in patient access, registration, billing or physician office
  • One-year experience in insurance verification and authorization 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

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    Financial Representative • Shelby, MI, US

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