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McLaren Health Care Outreach Reimbursement Specialist - McLaren Careers in Flint, Michigan

Position Summary:

*Background with laboratory billing with a focus on Pathology

Responsible for ensuring that all laboratory outreach documentation necessary for billing and compliance is processed in a timely and accurate manner. This includes obtaining all necessary patient insurance, demographic and diagnostic information for input into the billing system to generate client, insurance reimbursement and patient invoices in a timely manner. Monitor error log for any missing/incorrect information.

Essential Functions and Responsibilities:

1.

Responsible for data collection, compilation, computer input and generation of billing reports.

2.

Answers telephone inquiries concerning benefits and payments from patients, guarantors or insurance companies

3.

Verifies demographic information of patients to ensure accuracy of billing and charges.

4.

Utilizes ICD/CDM/CPT coding system in assigning appropriate diagnostic codes.

5.

Ensures proper notations are made on each account worked.

6.

Completes patient registration process.

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Required:

  • High school diploma or equivalent.

  • Certification as a Certified Professional Coder (CPC) in ICD and CPT coding; a Certified Billing & Coding Specialist (CBCS); or a Certified Coding Associate (CCA).

  • 1 year previous clerical experience to include, data entry, and/or telephone customer service.

  • Experience in computer programs such as Word, Excel, and Power point.

  • Knowledge of Medical Terminology.

  • Data Entry Skills.

Preferred:

  • Associate Degree.

  • 1-2 years’ experience as a medical coder within a health care setting.

  • Previous experience working in a laboratory setting.

  • Knowledge of health insurances and regulations.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

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