Positions Location: Lansing, MI
General Purpose of Job:
The Pre-Service Specialist's main objective is to accurately schedule and pre-register patients for Sparrow Health System and secure patient payments for those services. Responsibilities include: scheduling patient appointments, providing pre-registration, verification of insurance, obtaining insurance authorizations, collecting patient payments, providing estimates, entering ICD-10 codes and completing appropriate medical necessity checking.
Essential Duties:
This job description is intended to cover the minimum essential duties assigned on a regular basis. Associates may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.
- Interview patients and/or physician offices for the purpose of scheduling and pre-registration. Collect accurate demographic and financial information to assist with billing requirements.
- Enter appropriate ICD-10 codes for registration and billing purposes at the point of scheduling and registration.
- Verify medical necessity checks upon scheduling a patient.
- Verify insurance eligibility and covered benefits.
- Collect and verify necessary insurance authorizations.
- Educate the patient as to their financial responsibility prior to the point of service. Provide estimates for services as requested by the patient.
- Collect pre-payment for hospital services that are not covered by the patient's insurance, including co-pays, deductibles, or prior patient balances. Set up payment arrangements with patients when appropriate.
- Process accounts held internally or rejected by payers for errors related to registration, authorization and financial clearance activities..
General Requirements | *Demonstrates knowledge and maintains and respects patient right to privacy by following the HIPAA Privacy and Security policies and procedures. *Adheres to ICARE values and standards of behavior (Innovation, Compassion, Accountability, Respect, Excellence). *Role model behaviors that value the diversity of our associates, patients and customers and supports creating an environment that is inclusive, welcoming and respectful. *Communicates with patients, families and customers using AIDET (Acknowledge, Introduce, Duration, Explanation, Thank). *Works in a safe manner and promptly reports any hazards identified in the work environment or related to assigned responsibilities. |
Work Experience | *Experience must be in one of the following areas: billing, health insurance verification, ICD-10 coding, medical necessity checking, authorizations and copay collections. |
Education | *Associate Degree in health care billing, accounting or business and a minimum of 1 year of health care scheduling and patient registration experience; OR High School Diploma/GED and a minimum of 3 years of health related experience in billing, registration and scheduling. |
Specialized Knowledge and Skills | * Excellent word processing and computer typing skills. * Demonstrated interpersonal and communication skills * Must pass a medical terminology assessment test with 80% or greater. * Must successfully complete analytical skills assessment test with 65% or greater. |
University of Michigan Health - Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.
Shift | Days |
Degree Type / Education Level | High School / GED |
Status | Full-time |
Facility | Sparrow Hospital |
Experience Level | Under 4 Years |