financial clearance specialist

Beth Israel Lahey Health

Exeter, NH &bull; Beth Israel Lahey Health &bull; Full-time &bull; Day
<br><div><p><b>When you join the growing BILH team, you're not just taking a job, you&rsquo;re making a difference in people&rsquo;s lives.</b></p>
<p></p>
<p>This position completes all financial clearance activities for services rendered in outpatient departments. Monitors outcomes to ensure medical necessity and authorization requirements are met. Provides feedback to departments on medical necessity and authorization processes.</p>
<p></p>
<p><b>Job Description:</b></p>
<p><b>
Primary Responsibilities:</b></p>
<p>
1. Verifies patient's insurance eligibility for visit, using various online tools and by contacting the payer directly. (essential)</p>
<p></p>
<p>2. Identifies payer medical necessity determination before services are rendered. Informs departments of failed instances. When circumstances dictate, requests additional information to re-run medical necessity check. (essential)</p>
<p></p>
<p>3. Determines authorization requirement and, when necessary, obtains authorization from payer by utilizing payer specific protocols. Requests and coordinates any additional information from departments when needed. (essential)</p>
<p></p>
<p>4. Identifies and escalates issues timely and appropriately for resolution and communicates and coordinates with revenue cycle peers, leadership and clinical stakeholders. Documents interim and final results in appropriate systems. (essential)</p>
<p></p>
<p>5. Completes assigned work queues and reports daily to achieve standards of productivity and quality. Assists with reviewing medical necessity and obtaining authorization for urgent or walk-in visits. Refers patients to financial counselors to resolve complex financial issues and/or inquiries. (essential)</p>
<p></p>
<p>6. Follows BIDMC policies, procedures and training materials to ensure compliance to federal, state, and contractual requirements. (essential)</p>
<p></p>
<p>7. Identifies trends and provides periodic reports to departments on operational, productivity, and quality metrics. (essential)</p>
<p></p>
<p>8. Performs other activities on an as-needed basis to support the department. (essential)</p>
<p></p>
<p><b>Required Qualifications:</b></p>
<p>
1. High School diploma or GED required. Associate's degree preferred.</p>
<p>
2. 1-3 years related work experience required.</p>
<p>
3. Working knowledge of Common Procedural Terminology (CPT), Health Care Procedural Coding System (HCPCS) coding and International Classification of Diseases (ICD-9, ICD-10).</p>
<p>
4. Advanced skills with Microsoft applications which may include Outlook, Word, Excel, PowerPoint or Access and other web-based applications. May produce complex documents, perform analysis and maintain databases.</p>
<p></p>
<p><b>Preferred Qualifications:</b></p>
<p>
1. 3+ years of related experience; two or more years of prior work experience in Financial Clearance activities.</p>
<p>
2. Knowledge of payer policies for medical necessity/authorization requirements.</p>
<p>
3. Prior experience working with Craneware software.</p>
<p></p>
<p><b>Competencies:</b></p>
<p><b>
Decision Making: </b>Ability to make decisions that are guided by precedents, policies and objectives. Regularly makes decisions and recommendations on issues affecting a department or functional area.</p>
<p></p>
<p><b>Problem Solving: </b>Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.</p>
<p></p>
<p><b>Independence of Action: </b>Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.</p>
<p></p>
<p><b>Written Communications:</b> Ability to summarize and communicate in English moderately complex information in varied written formats to internal and external customers.</p>
<p></p>
<p><b>Oral Communications:</b> Ability to comprehend and communicate complex verbal information in English to medical center staff, patients, families and external customers.</p>
<p></p>
<p><b>Knowledge:</b> Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.</p>
<p></p>
<p><b>Team Work:</b> Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.</p>
<p></p>
<p><b>Customer Service:</b> Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.</p>
<p></p>
<p><b>Social/Environmental Requirements:</b></p>
<p>
1. Work requires close attention to task for work to be accurately completed. Intermittent breaks during the work day do not compromise the work.</p>
<p></p>
<p>2. Work is varied every day and the employee needs to be adaptable to respond to these changes and use independent judgment and manage priorities.</p>
<p></p>
<p>3. No substantial exposure to adverse environmental conditions</p>
<p></p>
<p>4. <b>Health Care Status:</b> NHCW: No patient contact.-<i> Health Care Worker Status may vary by department</i></p>
<p><b>
Sensory Requirements:</b></p>
<p>
Close work (paperwork, visual examination), Color vision/perception, Visual monotony, Visual clarity &lt;3 feet, Conversation, Telephone.</p>
<p><b>
Physical Requirements:</b></p>
<p>
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionally</p>
<p>
This job requires constant sitting, Keyboard use.There may be occasional Fin</p><br>
<p></p>
<p></p>
<p><b>Pay Range:
</b></p><p>$20.50 &ndash; $27.59</p>
<p>
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.</p>
<p></p>
<h2 class="jobSectionHeader"><b>As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.</b></h2>
<p></p>
<h2 class="jobSectionHeader"><b>More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.</b></h2>
<p></p>
<h2 class="jobSectionHeader"><b>Equal Opportunity Employer/Veterans/Disabled</b></h2></div><p></p>
<br><div><h3 class="jobSectionHeader"><b>Job details</b></h3>
<ul><li><div><b>Employment:</b> Full-time</div></li>
<li><div><b>Hours/Week:</b> 40</div></li>
<li><div><b>Shift:</b> Day</div></li>
<li><div><b>Category:</b> Billing, Collections, &amp; Patient Financial Services</div></li>
<li><div><b>Pay Range:</b> $20.50 - $27.59</div></li>
<li><div><b>FLSA:</b> Non-Exempt</div></li>
<li><div><b>Req ID:</b> JR93308</div></li></ul></div>

Financial Clearance Specialist – Exeter Hospital

LCMC Health

<div><p>Your job is more than a job</p><p></p><div><div><div><div><p><b>
Be the problem-solver before the visit!</b></p></div><p></p><div><p><br>
As a Patient Access Representative focused on Financial Clearance and Authorizations, you work behind the scenes&mdash;and directly with patients&mdash;to ensure care is approved, covered, and financially clear before services are delivered. Your attention to detail helps prevent delays, denials, and surprises, creating a smoother experience for both patients and care teams.</p></div><div><p>
You bring clarity, accuracy, and empathy to conversations about insurance, authorizations, and financial responsibility&mdash;making complex processes easier to understand.</p></div><div><p><b>
What You&rsquo;ll Do:</b></p></div><ul><li><p>
Verify insurance eligibility and benefits for scheduled and unscheduled services</p></li><li><p>
Obtain prior authorizations and referrals as required by payers</p></li><li><p>
Review patient accounts for financial clearance and resolve issues before services are rendered</p></li><li><p>
Communicate with insurance companies, providers, and internal teams to secure approvals</p></li><li><p>
Explain coverage, estimates, and financial responsibility to patients</p></li><li><p>
Assist with payment arrangements and financial assistance referrals when appropriate</p></li><li><p>
Maintain accurate documentation and protect patient confidentiality</p></li></ul><div><p><b>
What You Bring:</b></p></div><ul><li><p>
Strong customer service and communication skills</p></li><li><p>
Attention to detail and comfort working with insurance and authorization processes</p></li><li><p>
Ability to explain financial and coverage information clearly and confidently</p></li></ul><div><p><b>
Minimum Requirements:</b></p></div><ul><li><p>
High School Diploma or GED (or 2 years of applicable experience in lieu of education)</p></li><li><p>
2 years of customer service and/or healthcare experience</p></li></ul><p></p><div><p><b><br>
Help clear the path to care&mdash;so patients can focus on getting better!</b></p></div></div></div></div><p></p><p><b>
WORK SHIFT:
</b></p><p></p>Days (United States of America)<p><b>
LCMC Health is a community.</b></p><p>
Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little &ldquo;come on in&rdquo; attitude is the foundation of LCMC Health&rsquo;s culture of everyday extraordinary</p><p></p><p><b>
Your extras</b></p><ul><li>
Deliver healthcare with heart.</li><li>
Give people a reason to smile.</li><li>
Put a little love in your work.</li><li>
Be honest and real, but with compassion.</li><li>
Bring some lagniappe into everything you do.</li><li>
Forget one-size-fits-all, think one-of-a-kind care.</li><li>
See opportunities, not problems &ndash; it&rsquo;s all about perspective.</li><li>
Cheerlead ideas, differences, and each other.</li><li>
Love what makes you, you - because we do</li></ul><p></p><p><b>
You are welcome here.</b></p><p>
LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.</p><p></p><p>
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.</p><p></p><p><b><br>
Simple things make the difference.</b></p><p>
1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.</p><p>
2. To ensure quality care and service, we may use information on your application to verify your previous employment and background.</p><p>
3. To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.</p><p>
4. To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.</p></div>

Patient Access Representative (FT; Days) (Insurance Authorizations) - LCMC Health Westpark Campus

Sutter Health

We are so glad you are interested in joining Sutter Health!
<br><br>
<b>Organization:</b><br>
SSMC-Sutter Solano Medical Center
<br><br>
<b>Position Overview:</b><br>
Serves as the face to face point of contact for the patient at a client location. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings. Responsible for supporting the success of a high-performing shared services organization by helping to champion and drive the long-term MFSS vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard MFSS responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).
<br><br>
<b>Job Description:</b><br>
EDUCATION
<br><br>
<ul>
<li>Equivalent experience will be accepted in lieu of the required degree or diploma.</li>
<li>HS Diploma or equivalent education/experience</li>
</ul>
Associates
<br><br>
<b>PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:</b><br>
<ul>
<li>Experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service activities as typically acquired in two years Completion of regulatory/mandatory certifications and skills validation competencies preferred</li>
</ul>
SKILLS AND KNOWLEDGE
<br><br>
<ul>
<li>General knowledge of patient access financial counseling functions in acute and non-acute settings preferred</li>
</ul>
•
<br><ul>
<li>Working knowledge of medical terminology desired</li>
</ul>
•
<br><ul>
<li>Working knowledge and understanding of insurance terminology desired EMTALA and Consent Laws knowledge</li>
</ul>
•
<br><ul>
<li>Excellent time management skills and the ability to manage frequent in-person patient contacts while effective maintaining and documenting data in the patient registration systems</li>
</ul>
•
<br><ul>
<li>Demonstrated ability to work in multiple computer systems, such as patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently</li>
<li>Strong data entry skills required</li>
<li>Excellent verbal and written communication and active listening skills</li>
<li>Interpersonal skills necessary in dealing with internal and external customers</li>
<li>Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health</li>
<li>Accuracy and attentiveness to detail required</li>
<li>Strong decision making and problem-solving skills</li>
<li>Must be able to set and organize own work priorities, and adapt to change</li>
<li>Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles</li>
<li>Ability to meet or exceed targeted customer service, productivity and quality standards</li>
<li>Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population Computer proficiency skills required Requires the ability to work with and maintain confidential information</li>
</ul>
<b>Job Shift:</b><br>
Day/Evening/Night
<br><br>
<b>Schedule:</b><br>
Part Time
<br><br>
<b>Shift Hours:</b><br>
8
<br><br>
<b>Days of the Week:</b><br>
Variable
<br><br>
<b>Weekend Requirements:</b><br>
As Needed
<br><br>
<b>Benefits:</b><br>
Yes
<br><br>
<b>Unions:</b><br>
Yes
<br><br>
<b>Position Status:</b><br>
Non-Exempt
<br><br>
<b>Weekly Hours:</b><br>
32
<br><br>
<b>Employee Status:</b><br>
Regular
<br>Sutter Health is an equal opportunity employerEOE/M/F/Disability/Veterans.
<br><br>
Pay Range is $29.26 to $36.33 / hour
<br>The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

PT Access Rep/PBX Operator

We are so glad you are interested in joining Sutter Health!
<br><br>
<b>Organization:</b><br>
SSMC-Sutter Solano Medical Center
<br><br>
<b>Position Overview:</b><br>
Serves as the face to face point of contact for the patient at a client location. Obtains all necessary information to register and financially clear patients. Greets patients/family members and obtains and/or verifies relevant information in the process of registering financially clearing patients for service delivery. Enhances the patient experience throughout all patient interactions by serving as the customer service point of contact at the point of service by demonstrating knowledge of Sutter's Health system and service offerings. Responsible for supporting the success of a high-performing shared services organization by helping to champion and drive the long-term MFSS vision. Helps foster an environment in which continuous improvement in business processes and services is welcomed and recognized. Participates in programs and in using tools in support of building a high performance culture via the standard MFSS responsibilities (e.g. performance measurement, people development, customer relationship management, etc.).
<br><br>
<b>Job Description:</b><br>
EDUCATION
<br>Equivalent experience will be accepted in lieu of the required degree or diploma.
<br><br>
<ul>
<li>HS Diploma or equivalent education/experience</li>
<li>Associates degree or equivalent</li>
</ul>
<b>PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:</b><br>
Experience within a hospital or clinic environment, an insurance company, managed care organization or other financial service setting, performing financial counseling, financial clearance and/or customer service activities as typically acquired in two years Completion of regulatory/mandatory certifications and skills validation competencies preferred
<br><br>
SKILLS AND KNOWLEDGE
<br><br>
<ul>
<li>General knowledge of patient access financial counseling functions in acute and non-acute settings preferred</li>
<li>Working knowledge of medical terminology desired</li>
<li>Working knowledge and understanding of insurance terminology desired EMTALA and Consent Laws knowledge</li>
<li>Excellent time management skills and the ability to manage frequent in-person patient contacts while effective maintaining and documenting data in the patient registration systems</li>
<li>Demonstrated ability to work in multiple computer systems, such as patient registration/accounting systems, telephone consoles, document imaging, scanning, payment posting, proprietary payer websites and data quality monitoring, both accurately and efficiently</li>
<li>Strong data entry skills required</li>
<li>Excellent verbal and written communication and active listening skills</li>
<li>Interpersonal skills necessary in dealing with internal and external customers</li>
<li>Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Sutter Health</li>
<li>Accuracy and attentiveness to detail required</li>
<li>Strong decision making and problem solving skills</li>
<li>Must be able to set and organize own work priorities, and adapt to change</li>
<li>Must be able to work concurrently on a variety of tasks/projects in an environment that may be stressful with individuals having diverse personalities and work styles</li>
<li>Ability to meet or exceed targeted customer service, productivity and quality standards</li>
<li>Fluency in both English and a minimum of one other language is preferred for this role to allow Sutter Health to better serve the community and patient population Computer proficiency skills required Requires the ability to work with and maintain confidential information</li>
</ul>
<b>Job Shift:</b><br>
Varied
<br><br>
<b>Schedule:</b><br>
Per Diem/Casual
<br><br>
<b>Shift Hours:</b><br>
8
<br><br>
<b>Days of the Week:</b><br>
Variable
<br><br>
<b>Weekend Requirements:</b><br>
As Needed, Once a Month
<br><br>
<b>Benefits:</b><br>
No
<br><br>
<b>Unions:</b><br>
Yes
<br><br>
<b>Position Status:</b><br>
Non-Exempt
<br><br>
<b>Weekly Hours:</b><br>
0
<br><br>
<b>Employee Status:</b><br>
Per Diem/Casual
<br>Sutter Health is an equal opportunity employerEOE/M/F/Disability/Veterans.
<br><br>
Pay Range is $29.26 to $36.33 / hour
<br>The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

PT Access Rep / PBX Operator

Allegheny Health Network

<div><h2 class="jobSectionHeader"><b>Company :
</b></h2>Allegheny Health Network
<h2 class="jobSectionHeader"><b>Job Description :
</b></h2><p>GENERAL OVERVIEW:
</p><p></p><p>This job completes one or more of the following processes (scheduling, pre-registration, financial clearance, authorization and referral validation and pre-serviceability estimations and collections) within Patient Access and creates the first impression of AHN's services to patients and families and other external customers. Articulates information in a manner that patients, guarantors and family members understand so they know what to expect and understand their financial responsibilities. Assumes clinical and financial risk of the organization when collecting and documenting information on behalf of the patient. Trains and assists other team members as necessary.
</p><p></p><p>ESSENTIAL RESPONSIBILITIES:
</p><ul><li>Conducts scheduling, and preregistration functions, validates patient demographic data, identifies and verifies medical benefits, accurate plan code and COB order. Obtains limited clinical data based on service required. Corrects and updates all necessary data to assure timely, accurate bill submission. (20%)
</li><li>Verifies insurance information through payor contacts via telephone, online resources, or electronic verification system. Identifies payor authorization/referral requirements. Provides appropriate documentation and follow up to physician offices, case management department, and payors regarding authorization/referral deficiencies. (20%)
</li><li>Identifies all patient financial responsibilities, calculates estimates, collects liabilities and post payment transactions as appropriate in the ADT system and performs daily reconciliation. Identifies self-pay and complex liability calculations and escalates account to Financial Counselors as appropriate. (20%)
</li><li>Delivers positive patient experience. Cooperates with and maintains excellent working relationships with patients, AHN leadership and staff, physician offices and designated external agencies or vendors. Performs any written or verbal communication necessary to exchange information with designated contacts and promote working relationships. (10%)
</li><li>Maintains focus on attaining productivity standards, recommending innovative approaches for enhancing performance and productivity when appropriate. (10%)
</li><li>Adheres to AHN organizational policies and procedures for relevant location and job scope. Completes and/or attends mandatory training and education sessions within approved organizational guidelines and timeframes. (10%)
</li><li>Communicates team barriers, process flow or productivity issues to team lead. Assists team members with operational support and training. Assists in resolving patient issues requiring additional oversight in a concise and informative manner as required. (10%)
</li><li>Performs other duties as assigned or required.
</li></ul><p></p><p>QUALIFICATIONS:
</p><p>Minimum
</p><ul><li>High school diploma or GED; or one &ndash; three months related experience and/or training; or equivalent combination of education and experience.
</li><li>Two previous years of related experience, preferably within a medical setting, financial services
<br>
setting, and/or a demanding customer service environment
</li><li>Experience operating a PC and using software applications
</li></ul><p></p><p>Preferred
</p><ul><li>Certification with Healthcare Financial Management Association or Certified Revenue Cycle Representative.
</li><li>Call/Service Center experience.
</li></ul><p></p><p><b><i>Disclaimer: </i></b><i>The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
</i><br>
<br>
<b><i>Compliance Requirement </i></b><i>: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
</i></p><p><i>As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company&rsquo;s Handbook of Privacy Policies and Practices and Information Security Policy.
</i><br>
<br>
<i>Furthermore, it is every employee&rsquo;s responsibility to comply with the company&rsquo;s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
</i></p><p></p><p>Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
</p><p></p><p>We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below.
</p><p></p><p>For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org
</p><p></p><p>California Consumer Privacy Act Employees, Contractors, and Applicants Notice</p></div>

Patient Access Coordinator II - AHN Cancer Institute / Radiation Oncology - Peters Health & Wellness Pavilion - Full Time

Patient Access Coordinator II - AHN Cancer Institute - Bethel - Full Time

The University of Michigan

<p></p><div><div><div><h2 class="jobSectionHeader"><b>How to Apply</b></h2><p>
A cover letter is required for consideration for this position and should be attached as the first page of your resume. The cover letter should address your specific interest in the position and outline skills and experience that directly relate to this position.</p><h2 class="jobSectionHeader"><b>
Job Summary</b></h2><p>
The Outpatient Financial Clearance and Authorization team is looking for a full-time Patient Business Associate to provide timely and thorough insurance and financial risk assessment review for scheduled outpatient services.
</p><h2 class="jobSectionHeader"><b>Mission Statement</b></h2><p>
Michigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Our mission is guided by our Strategic Principles and has three critical components; patient care, education and research that together enhance our contribution to society.</p><h2 class="jobSectionHeader"><b>
Why Join Michigan Medicine?</b></h2><p>
Michigan Medicine is one of the largest health care complexes in the world and has been the site of many groundbreaking medical and technological advancements since the opening of the U-M Medical School in 1850. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world?s most distinguished academic health systems. In some way, great or small, every person here helps to advance this world-class institution. Work at Michigan Medicine and become a victor for the greater good.</p><p><b>
What Benefits can you Look Forward to?</b></p><ul><li>
Excellent medical, dental and vision coverage effective on your very first day</li><li>
2:1 Match on retirement savings</li></ul><h2 class="jobSectionHeader"><b>
Responsibilities*</b></h2><ul><li>
Take necessary steps to acquire accurate and complete insurance information to ensure first time quality and improve the patient financial experience at Michigan Medicine</li><li>
Evaluate all patient payment sources, verify insurance eligibility, collect insurance benefit information and document insurance referral and authorization requirements for outpatient appointments and surgeries</li><li>
Prepare the patient liability estimate using procedure code(s), diagnosis, payer fee schedule and benefit information.</li><li>
Contact and educate patients on out-of-pocket liability for hospital and professional services prior to appointment and collect and post pre-payments when appropriate</li><li>
Verify and update patient demographic and insurance information as needed</li><li>
Identify and promptly communicate changes in a patient's insurance coverage to the outpatient clinic as needed</li><li>
Refer patients with insurance concerns requiring immediate attention to the Patient Financial Counselor or alternate funding sources when appropriate based on financial assessment</li><li>
Clearly and thoroughly document all actions, contacts, outcomes, and interventions</li><li>
Respond to insurance related questions from Michigan Medicine customers with promptness and thoroughness</li><li>
Review, investigate and resolve outpatient hospital accounts being held due to insurance related issues post service and prior to claim submission</li><li>
Attend and participate in operational meetings, utilizing LEAN thinking and principles.</li><li>
Develop standard processes and incorporate efficiencies into daily workflow</li><li>
Assist and contribute to the overall achievement of the Michigan Medicine and Patient Business Services quality, operational and financial goals and objectives</li></ul><h2 class="jobSectionHeader"><b>
Required Qualifications*</b></h2><ul><li>
High school diploma in combination with experience working with health insurance or in a healthcare setting is essential.</li><li>
Minimum 2-3 years of progressively complex registration, billing &amp; third-party payers experience or working with health insurance or in a healthcare setting</li><li>
Outstanding customer service, written and verbal communication skills are mandatory.</li><li>
Ability to prioritize and handle multiple tasks, producing high-quality work in a timely, accurate and efficient manner is required.</li><li>
Proficiency in the use of computers and basic software applications is necessary.</li><li>
 Ability to be flexible and work within a team-focused, participative management framework is required.</li></ul><h2 class="jobSectionHeader"><b>
Desired Qualifications*</b></h2><ul><li>
An Associates Degree with three years of progressively complex healthcare registration, insurance and billing experience is preferred.</li><li>
Minimum 1-2 years of experience in healthcare billing, insurance verification, or related revenue cycle roles.
</li><li>Understanding and ability to interpret and communicate insurance benefit plans, insurance coverage, and payer guidelines information is recommended.</li><li>
Familiarity with CPT codes and payer fee schedules is desired.</li><li>
Knowledge of No-Fault Auto, Michigan Assigned Claims, Veteran's Affairs, third party and government payer rules and regulations is preferred.</li><li>
Experience working in the EPIC system is desired.</li></ul><h2 class="jobSectionHeader"><b>
Work Locations</b></h2><p>
This position is a remote position where you will work from home/virtually once training is completed and performance-based competency has been obtained. High speed internet is a requirement for this position and the cost is the responsibility of the staff member. There may be occasions where the staff member may need to report to the business office location, including meetings, computer or technology requirements, or to complete work that is not possible to handle remotely. The business location will have space available to reserve onsite work when required or necessary. Although there is some flexibility in working hours, the business location and operations are in the Eastern Time Zone and work hours must accommodate interactions, including video conferencing, with colleagues during these hours. Computing resources including required software applications, VPN, desktop or laptop computer, monitor, webcam, keyboard and mouse, will be provided by the employer. Remote staff are not provided with a mobile phone but are provided with computer telephone and fax technology. Office equipment such as desk, chair, and printer are not provided. Basic supplies such as paper and pens, are stocked at the business location and are available to remote staff for pick-up should they choose. Unless otherwise agreed in advance with your manager, additional hardware, software, printing, and cost of office supplies preferred by the staff member, are the responsibility of the employee.</p><p>
Technology Skills required include the ability to set-up computer and monitors and connect accessory items such as mouse, keyboard, and web cams. Remote computing support is available 24/7 via phone, chat, or ticketing system, to all staff members. Staff will be expected to effectively communicate and resolve most computing issues directly with computing support resources.</p><h2 class="jobSectionHeader"><b>
Modes of Work</b></h2><p>
Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.</p><h2 class="jobSectionHeader"><b>
Union Affiliation</b></h2><p>
This position is covered under the collective bargaining agreement between the U-M and the Service Employees International Union (SEIU), which contains and settles all matters with respect to wages, benefits, hours, and other terms and conditions of employment.</p><h2 class="jobSectionHeader"><b>
Background Screening</b></h2><p>
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.</p><h2 class="jobSectionHeader"><b>
Application Deadline</b></h2><p>
Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.</p><h2 class="jobSectionHeader"><b>
U-M EEO Statement</b></h2><p>
The University of Michigan is an equal employment opportunity employer.</p></div></div></div><p></p>
<br><div><div><h3 class="jobSectionHeader"><b>Job Opening ID</b></h3>
<div><p>274833</p>
</div></div><div><h3 class="jobSectionHeader"><b>Working Title</b></h3>
<div><p>Patient Business Associate</p>
</div></div><div><h3 class="jobSectionHeader"><b>Job Title</b></h3>
<div><p>Patient Business Associate</p>
</div></div><div><h3 class="jobSectionHeader"><b>Work Location</b></h3>
<div><p>Michigan Medicine - Ann Arbor</p>
</div></div><p>Ann Arbor, MI</p>
<div><h3 class="jobSectionHeader"><b>Modes of Work</b></h3>
<div><p>Mobile/Remote
</p></div></div><div><h3 class="jobSectionHeader"><b>Full/Part Time</b></h3>
<div><p>Full-Time</p>
</div></div><div><h3 class="jobSectionHeader"><b>Regular/Temporary</b></h3>
<div><p>Regular</p>
</div></div><div><h3 class="jobSectionHeader"><b>FLSA Status</b></h3>
<div><p>Nonexempt</p>
</div></div><div><h3 class="jobSectionHeader"><b>Organizational Group</b></h3>
<div><p>Exec Vp Med Affairs</p>
</div></div><div><h3 class="jobSectionHeader"><b>Department</b></h3>
<div><p>MM Rev Cycle (PTO)</p>
</div></div><div><h3 class="jobSectionHeader"><b>Posting Begin/End Date</b></h3>
<div><p>3/09/2026 - 3/23/2026</p>
</div></div><div><h3 class="jobSectionHeader"><b>Salary</b></h3>
<div><p>$47,465.60 - $68,868.80</p>
</div></div><div><h3 class="jobSectionHeader"><b>Career Interest</b></h3>
<div><p>Service Employees Intl Union (SEIU)</p></div></div></div>

Patient Business Associate

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