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McLaren Health Care Patient Services Rep (KCC) in Farmington Hills, Michigan

Description

Position Summary: Under general supervision, registers

patients to center. Obtains insurance,

medical and demographic data to register, pre-register, admit or pre-admit

patients to the center. Verifies

insurance coverage and benefit levels with various third party payors. Assists patients without medical insurance

coverage in completing medical assistance applications and/or making payment

arrangements and cash collections.

Develops liaison relationship between patient and hospital by answering

patients’ questions regarding hospital policies and billing procedures and by

obtaining necessary information to efficiently admit and bill for hospital

services rendered. Assists patients in

completing necessary forms and obtains patient signature as needed. Collects referrals and authorizations;

attempts to secure telephone referral if necessary. Completes telephone registrations.

Responsibilities:

  • Greets or contacts patient;collects and verifies all necessary demographic, insurance and relateddata.Explains appropriate forms topatient and ensures that necessary forms are completed correctly and thatpatient signatures are obtained.

  • Collects referrals andauthorizations; attempts to obtain referral by telephone if patient arriveswithout one.Verified insurance and obtainsnecessary authorization.Consults withlead Patient Registrar in assisting uninsured patients in making paymentarrangements and cash collections.Consults Admitting Managers for permission to register indigentpatients.

  • Contacts insurance companies toverify insurance coverage and benefit levels on all admissions.Responds to third party inquiries for variousaccount information not normally supplied in the billing process.Obtains necessary information and signaturesto verify insurance coverage and initiate a computer file on emergency anddirect admissions.

  • Reviews physician reservationrequests, diagnosis, availability of beds and other related factors to assignhospital beds according to designated service for scheduled, unscheduled andemergency patients.Prioritized whichpatients are to be admitted or transferred according to hospital policies.

  • Arranges outpatient appointmentsusing knowledge of ancillary departments for all clinics and offices involvedwith Central Scheduling.Maintainsappointment logbooks from participating ancillary departments.

Qualifications

Qualifications:

  • High school diploma

  • Six to twelve months previous work experience in an insurance, medical records, billing or related area to develop knowledge of healthcare admissions, and account policies as well as third party payors and social assistance policies and procedures.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Job: Administrative/Clerical

Primary Location: Michigan-Farmington Hills-Weisberg Cancer Treatment Ctr

Employee Status Regular

Shift Day Job

Job Type Standard

Schedule Part-time

Req ID: 20007730

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