Job Information
McLaren Health Care Patient Services Rep (KCC) in Detroit, 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-Detroit-Karmanos Cancer Cntr/Instit
Employee Status Regular
Shift Day Job
Job Type Standard
Schedule Full-time
Req ID: 20004771