Michigan Healthcare Jobs

Mobile michigan-jobbank Logo

Job Information

McLaren Health Care PreRegistration Specialist in Detroit, Michigan

Description

Job Summary: Under general supervision, pre-registers

patients and correctly identifies and obtains authorizations if needed prior to

the date of service based on departmental policies and procedures. Contacts PCP/Insurance Company to attempt to

obtain referrals if needed prior to date of service based on insurance

guidelines. Conducts appropriate and timely follow-up with patients, physician

offices and insurance carriers as needed and documents all relevant information

related to the visit in the Capstone system.

Obtains accurate insurance, medical and demographic data. Verifies insurance coverage, benefit levels,

annual life time term and co-pays and co-insurances with various third party

payors. Using the appropriate work list,

completes all job functions assigned daily.

Work closely with the Financial Counselor, and where applicable, inform

the patient of his/her financial responsibility prior to the patient’s visit.

Responsibilities:

  • Contacts patients to conductpre-registration using daily work list. Maintains productivity standards setwithin the department. Collects and verifies all information contained withinthe outpatient registration conversation including demographic and insuranceinformation.

  • Contacts insurance companies toverify insurance coverage, benefit levels, term/max life, co-pays andco-insurances.Responds to third partyinquiries for various account information not normally supplied in the billingprocess. Uses on-line systems when available.

  • Monitors and secures referrals andauthorization prior to date of services and advises supervisor of anyincomplete accounts. Contacts patients when appropriate to advise them of theirresponsibility to contact the primary care physician to obtain referrals orauthorizations.

  • Scans and files referrals andauthorizations into IDoc and documents within Capstone.

  • Establishes and maintains contactswith KCI representatives and physician office staff.

Qualifications

Qualifications:

  • High school diploma required.Two years of college preferred.

  • Two or more years of previous work experience in insurance, medical records/coding, billing or related area to develop knowledge of healthcare revenue cycle.

  • Strong communication skills, both written and verbal.

  • Experience with computers and other office equipment.

  • Good organizational and analytical ability; must be detail oriented.

  • Proven customer service skills, along with commitment to patient satisfaction.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Job: Administrative/Clerical

Primary Location: Michigan-Detroit-New Center One

Employee Status Regular

Shift Day Job

Job Type Standard

Schedule Full-time

Req ID: 20008363

DirectEmployers