At Cornerstone Medical Group (CMG) we hire and retain top rated employees. We offer competitive wages and an employee focused benefit package that includes medical, dental, vision, paid time off (PTO), retirement savings, and much, much more! Join our team and find out why CMG is the place to be! Department Description Almont Family Practice is located on Van Dyke Rd and Dryden Rd in Almont. Position Summary Determines and verifies insurance coverage and coordination of benefits from all sources.
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  • Confirms insurance coverage. Determines necessity for pre-authorization and obtains authorization for scheduled procedures.
  • Enters patient insurance information into the patient record and documents insurance coverage of services to be provided.
  • Determines financial responsibility for services to be provided. Notifies patients and/or practitioners of any services requested and/or referred that are not authorized by insurance.
  • Communicates with patients and practitioners regarding financial responsibility and insurance coverage issues.
  • Assists with payment status and maintains department status reports and logs. Investigates referral denials and acts as a liaison between provider, hospital personnel, and selected payors.
  • Coordinates and completes insurance referral processing system following department protocols.
  • Handles phone inquiries as well as trouble shooting directly with patients, payors, providers, medical office staff, and testing departments.
  • Works with testing departments, providers, and their staff to collect data for Utilization Review. Keeps appropriate logs for test tracking and follow up. Works with a specialist assuring adequate information flow between specialist and referring PCP as assigned.
  • May enter, review, and submit charges for patient procedures and services daily.
  • Complies with CLIA, OSHA, and other regulatory agency standards. Participates in in-service programs as needed. Follows infection controls and safety policies.


The qualifications/requirements listed below are representative of the knowledge, skill, and/or ability required.

?COMPLEXITY OF WORK: Within scope of job, this position requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment.
? PERSONAL PROTECTIVE EQUIPMENT: Follows Standard Precautions using personal protective equipment as required.
? EDUCATION and/or EXPERIENCE: High school diploma or equivalent required.
? WORK EXPERIENCE: Six (6) months of medical office experience required.