Patient Services Representative - Pain Clinic Job at McLaren Lapeer Region
About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan, Indiana and Ohio. The McLaren system includes 14 hospitals in Michigan and Ohio, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 51 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Position Summary:
Primary responsibilities are serving as rehabilitation receptionist, scheduling appointments, obtaining insurance benefits, authorizations, processing information for admitting out-patients, charge capture and charge reconciliation.
Essential Functions and Responsibilities:
- Data Management: Competent in use of computer software governing word processing, data base, spreadsheets, patient billing, patient scheduling and accounting programs (per hospital partner mandate). Initiates and maintains accurate files for data, patient records, patient charges, correspondence and business functions.
- Communication: Exhibits excellent interpersonal skills and ability to relate positively to all contacts. Proficient in phone and reception skills. Collaborates with both clinic and hospital partner staff to promote smooth exchange of information. Generates letters to referring/primary care physicians and case studies as directed to communicate patient plan of care and progress.
- Medical Records Administration: Possesses working knowledge of medical terminology and approved abbreviations. Adheres to policies regarding confidentiality of medical record information, release of records, and informed consent. Works with hospital departments and physicians’ offices to obtain necessary documentation for ongoing patient care & to complete records. Adheres to hospital policy regarding maintenance and storage of medical records.
- Verification: Verifies patient insurance, workman’s comp and/or auto, monitors preauthorization needs, works denials to obtain maximum reimbursement. Demonstrates working knowledge of third party payor systems (commercial, Medicare/Medicaid, HMO, PPO, etc.).
- Program Operations: Maintains accurate patient/physician scheduling system. Maintains inventory of office supplies, adhering to budget. Handles mail and packages in a timely, appropriate manner. Follows appropriate chain of command to address daily and routine problems. Exhibits excellent organizational skills and ability to prioritize, delegate and follow up.
- Health and Safety: Adheres to infection control, emergency, safety, fire and disaster plans.
7. Performs other duties as required or requested.
Qualifications:
Required:
- High school diploma
- Ability to type, operates related office equipment and possess PC skills.
Preferred:
Possess 6-9 months related billing experience with knowledge of medical terminology.
- Schedule: Per Diem
- Requisition ID: 22012549
- Daily Work Times: Days
- Hours Per Pay Period: 0
- On Call: No
- Weekends: No
Per Centers for Medicare & Medicaid Services (CMS) regulations, all McLaren employees must be vaccinated for COVID-19 by January 4, 2022. The regulation permits exemptions for employees with qualified medical disabilities or religious beliefs.
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
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