New

Outpatient Insurance Specialist - Full Time - Day Shift - Detroit

Henry Ford Health System
United States, Michigan, Detroit
Jul 28, 2025
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. Additional Information Organization: Henry Ford Medical Group Department: Rehab Admin Shift: Day Job Union Code: Not Applicable