Outpatient Insurance Specialist - Part Time 32 Hours - Day Shift - Dearborn

Job Title

Henry Ford Medical Group

Job Description

Location: Henry Ford Medical Center - Ford Road, Dearborn

Schedule: Mon - Fri 8:30-3:30 (no weekends, no evenings)

General Summary:

• Under general supervision, identifies and determines in accordance with established policies and procedures the accuracy and completeness of financial, insurance and/or demographic information for patients receiving medical care at HFHS and subsidiaries.
• Verifies insurance eligibility and benefit information with insurance plans to determine patient's financial responsibility related to deductibles, co-pay and out of pocket expenses.
• Confirms all insurance requirements are met, including but not limited to; referrals and authorizations.
• Investigates and reviews the accuracy and completeness of information to ensure account is secure.
• Counsel, collect and make financial arrangements for patients with self-pay responsibility.
• Resolve problem accounts to determine primary insurance and/or coordination of benefits.

Education/Experience Required

• High school diploma or G.E.D. equivalent.
• College coursework in accounting, business, computers or health care administration is preferred.
• One-year as customer service or other related role with HFHS is preferred.
• Advanced knowledge of various insurance plans, COB rules of priority and processing procedures, preferred.
• Basic typing knowledge and computer skills required to operate a personal computer.
• Ability to operate a variety of other office equipment including calculator, fax machine and photo copier.
• Ability to adjust to new technologies as introduced.
• Basic Excel and word processing experience required.
• Organizational and time management skills required in order to maintain and prioritize daily work, weekly reports and to follow-up on accounts in a timely manner.
• Analytical skills required to determine COB requirements.
• Verbal and written communication skills required in order to effectively obtain required information from patients, insurance companies, physicians, patient advocates and internal and external agencies.
• Demonstrate team-oriented capabilities, along with a willingness to assist fellow employees within the HFHS and subsidiaries.
• Must meet and maintain HFHS policies and procedures and departmental standards.