Patient Account Representative III

About the role

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, 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, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

Responsibilities

• Performs advanced and complex patient accounting and revenue cycle functions accurately, timely, and in accordance with departmental standards.
• Serves as a subject matter expert and resource to department staff regarding patient accounting processes, payer requirements, account resolution, billing, follow-up, payment posting, refunds, reporting, documentation, and related revenue cycle functions.
• Reviews, updates, and maintains patient accounts to support accurate billing, payment posting, follow-up, collections, refunds, reporting, and account resolution.
• Processes, researches, and resolves account issues, including insurance, patient balance, payment, adjustment, refund, documentation, and claim-related matters.
• Provides guidance, support, and assistance to staff regarding workflow questions, account issues, payer requirements, and departmental procedures.
• Communicates professionally and effectively with patients, insurance carriers, vendors, internal departments, and other customers to obtain information, resolve inquiries, and support timely account resolution.

Requirements

• High School Diploma or GED
• 5 years of experience in Finance/Accounting, Customer Service, or Healthcare
• Preferred: Associate Degree in Health Care, Finance, or related area; equivalent combination of education and relevant experience; working knowledge of CPT, HCPCS, and ICD-10

Qualifications

• High School Diploma or GED
• 5-year experience in Finance/Accounting, Customer Service, or Healthcare
• Preferred: Associate Degree in Health Care, Finance, or related area; equivalent combination of education and relevant experience; working knowledge of CPT, HCPCS, and ICD-10

Benefits

Equal Opportunity Employer