Company Description
Location: Remote Role - Must Reside in Michigan
Schedule: Full Time Hours - Monday - Friday 8 AM - 4:30 PM
More Than Just Care, It’s Community
Imagine doing meaningful work in a place where people vacation. That’s life at Munson Healthcare - northern Michigan’s largest healthcare system, with eight award-winning community hospitals serving over half a million residents across 29 counties. If you want a career in healthcare and a lifestyle most people only dream about – with freshwater lakes, scenic trails, charming downtowns, a vibrant arts scene, and endless outdoor adventures - you might just be Munson Material. To us, that means teammates who live by our values of excellence, teamness, positivity, creativity, and a commitment to creating exceptional experiences for our patients and each other. Join a team that delivers outstanding care in one of the most beautiful regions in the country.
Invested in You
Grow: Tuition reimbursement, in-person and online development, and access to our career hub to help you advance.
Thrive: Full benefits, paid holidays, generous PTO, employee discounts, and free individual retirement counseling.
Be Well: Free wellness platform for you and your family, plus personalized support for personal or family challenges.
Be Heard: Share your ideas and help shape the way we work through improvement huddles, employee surveys, and town hall meetings
Job Description
Location: This is a remote position; must reside in Michigan
Schedule: Full Time Hours Weekly - Monday - Friday 8AM - 4:30PM
Responsibilities
- Exercises a high degree of control over confidential medical information.
- Inputs and updates all insurance information in appropriate screens.
- Verifies eligibility of all insurances available online or by phone.
- Identifies primary and secondary insurance.
- Inputs insurance information in correct COB order.
- Obtains claim numbers and verifies that claims are established for Workmen’s Comp and Auto Insurance.
- Identifies the need for pre-authorization information, makes decisions relating to insurance eligibility utilizing several online systems available at MMC.
- Scheduled patients: Obtains and documents pre-authorization as appropriate for procedure.
- Emergent patients: obtains pre-authorization guidelines and communicates information to Utilization Management.
- Follow up on all verification issues in a timely manner and communicate information to proper departments regarding information obtained.
- Responsible to keep current on billing requirements from third parties such as, Blue Cross/Blue Shield, Medicare, Medicaid, and all other health insurance carriers.
- Performs insurance verification, obtains pre- and retro- certification information for all inpatient activity.
- Communicates appropriate information to the Utilization Management team as required.
- Refers patients to Financial Counselors to obtain financial assistance and /or payment arrangements when appropriate.
Qualifications
- 2 Year / Associate Degree or Equivalent experience
- 1.5 years of related experience in healthcare and third party required.
- Medical experience is preferred
- Well versed in medical terminology is highly preferred
Additional Information
Key Competencies and Skills
- Advanced keyboard, mouse, computer and Microsoft Office skills.
- Must have knowledge and ability to learn, access and utilize 10+ of the computer programs listed below within 90 days of hire.
- Outlook
- Star Insurance Verification systems
- Smart Web
- Power Chart
- First Net
- 3M Coding
- Ontrac and related tools
- NextGen
- Cerner
- Must possess exceptional oral and written communication skills.
- Ability to demonstrate effective communication with patients, Dr’s offices and technicians within hospital departments, and create accurate documentation with information gathered.
- Must be warm, friendly, and sensitive to the feelings and concerns of others.
- Ability to demonstrate effective communication with Insurance companies to obtain, verify, and create accurate documentation with information gathered.
- Ability to perform online insurance verification through the Internet.
- Must demonstrate ability to adapt to change and keep up with continued advanced education requirements.
- Munson Healthcare requires all employees be vaccinated or have lab confirmed immunity for Measles, Mumps, Rubella and Varicella.
- MHC also requires all employees to receive a flu vaccine during the flu season in the year that they are hired and annually thereafter, or receive an approved medical or religious exemption.