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JOB PURPOSE:  To improve the health and wellbeing of our communities.

BASIC FUNCTIONS:     The Member Services Representative serves as a member of the Patient Access team with a focus on pre authorization of Grand River Hospital District patients. Responsibilities include obtaining and verifying necessary demographic and billing information and update that information in the Meditech system. Responsible for pre-registration of patients, verifying insurance benefits and verifying pre-certification/authorization for inpatient/outpatient surgical patients, various cardiopulmonary services, attended sleep studies, and all Clinical outpatient MRI’s, CT’s, etc. Notifies patient/guarantor to secure financial arrangements prior to services being performed. Cross trains with other members of the Patient Access team to assist with registration duties at times. Performs a variety of tasks and other duties as assigned.

QUALIFICATIONS:       
Education: High school diploma or equivalent preferred.
Experience: Working experience related to insurance processing preferred. Working experience in a health care setting preferred. Working experience serving the public, performing registration functions and performing computer based tasks preferred.

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Member Services Representative
Pre Authorization