Patient Access Representative

Selectminds; Mount Pleasant (MI); On-site; USD 32,000 - 42,000; Full time

Job summary

McLaren Health Care is seeking a Patient Access Representative to ensure smooth, timely registration and admission processes. You will collect demographic, clinical, and insurance data, handle co-pays, perform initial financial screening for self-pay patients, and coordinate with Financial Advisors as needed.

You will also greet and assist patients, answer calls, provide wayfinding, and support departmental quality and productivity with accurate data entry and attention to compliance standards.

Qualifications

• High School Diploma or GED required, or an Associate's degree with related healthcare experience.
• Minimum 2 years in Patient Access, Customer Service, or Medical work experience, or 2 years with an Associate's and related experience.

Responsibilities

• Handle registration/admission tasks and collect demographics, insurance data, and co-pays.
• Perform initial financial screening for self-pay/out-of-network patients and refer to Financial Advisors as needed.
• Maintain confidentiality and HIPAA compliance; route calls and provide patient wayfinding as required.
• Support department operations and improve quality and productivity within established standards.

Skills

Excel

Word

10-key calculator

CPT/HCPCS/ICD-10 knowledge

Customer Service

Education

High School Diploma or GED

Associates Degree

Tools

Windows-based applications

Excel

Word

Job description

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan.

Under minimum direction, the Patient Access Representative is accountable to ensure a smooth timely registration/admission process by obtaining accurate individual demographic, clinical and insurance data; collecting co-pay/deductible, residual and prior balances, perform initial financial screening on all self-pay & out of network patients and then referring them to the Financial Advisors as necessary while providing optimal customer satisfaction; reception; and provides patient way finding as required.The Patient Access Representative is expected to perform assignment tasks within the quality and productivity standards assigned to position responsibilities.

1. Completes all assigned tasks and responsibilities of Patient Access Representative accurately and in a timely manner.

2. Responds promptly, professionally and courteously to all customers’ needs.

3. Cooperates and communicates effectively with all McLaren Health Care team members.

4. Contributes to continuous quality improvement efforts.

5. Completes complex tasks accurately and timely. May seek guidance and direction from Rep III and Supervisor as needed for complex assignments.

6. Organizes time and prioritizes effectively.

7. Practices cost effective measures.

8. Maintains confidentiality in all matters regarding patients, the hospital, the department and human resources.

9. Complies with HIPAA regulations and Patient Bill of Rights.

10. Flexes to meet department needs and objectives.

11. Follows all safety and health standards.

12. Answers and screens outside calls, relays calls to the proper Department, transfers and/or holds calls when necessary.

13. Answers and screens in-house requests for pages, outside lines, and to complete calls for patients who may need assistance.

14. Pages doctors and authorized personnel over the overhead paging system as well as encodes pocket pagers, as requested.

15. Informs appropriate personnel of disaster and fire drills and other Hospital function by announcing them over the intercom, as requested according to overhead paging policy.

16. Maintains file of Hospital personnel and Departments by name and extension numbers as well as phone numbers of Hospitals within the area.

17. Receives disaster information, notifies proper personnel and Departments. Signals all clear when appropriate.

18. Directs visitors, salesman, doctors, outpatient, etc., to proper location as needed.

19. Maintains on-call lists.

20. Monitors Hospital entrance at night and notifies appropriate nursing personnel when necessary.

21. Observes strategic locations of Hospital by security cameras and notifies management of discrepancies observed.

22. Acts as the primary contact for Lost and Found items.

23. Other duties as assigned or when necessary to maintain efficient operation of the department and the company as a whole.

Required:

• High School Diploma or GED
• Minimum of 2 years of Patient Access, Customer Service or Medical work experience OR Associates Degree in related field and 2 years of Patient Access or Medical Billing work experience.
• Skills in Microsoft Office, specifically Excel and Word, Window based applications, and 10 key calculators
• Working knowledge of CPT, HCPCS, and ICD-10
• Three years’ experience in progressively more responsible finance and/or healthcare revenue cycle functions

Additional Information

• Requisition ID: 26010263
• Daily Work Times: Variable
• On Call: No

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.