Patient Access Scheduling Representative

McLaren Health Care Corporation; Grand Blanc (MI); Presencial; USD 22.000 - 33.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

Descripción de la vacante

McLaren Health Care in Michigan is seeking a Patient Access Scheduling Representative to schedule, register, initiate pre-authorizations and referrals, and to confirm and maintain patient diagnostic appointments, surgeries and other procedures.

You will collect demographic and insurance information, verify eligibility in real time, inform patients of insurance requirements, and handle calls to grow business and ensure access to services.

Formación

• High school diploma or equivalent.
• 1 year of experience in a customer service role or health care industry.
• 2 years experience with third-party medical insurance/HMO preferred.
• Experience with CPT/ICD-10 coding and medical terminology preferred.

Responsabilidades

• Obtains required patient demographic and insurance information for McLaren Health and governmental requirements.
• Provides courteous and efficient services; documents and verifies pre-registration information; collects demographic and financial data.
• Provides physician and/or diagnostic appointment scheduling.
• Maintains knowledge of insurance and authorization requirements; performs real-time insurance verification.
• Explains insurance requirements for services, such as authorizations/pre-certifications and referrals.
• Estimates and collects copays, deductibles, and other patient financial obligations.
• Handles inbound and outbound calls to grow business and improve patient access to services.

Conocimientos

Customer service

Insurance verification

Phone etiquette

Educación

High school diploma or equivalent

Herramientas

None

Descripción del empleo

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.

Patient Access Scheduling Representative

Under the direction of the Patient Access leadership team, Schedules, registers, initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health.

Essential Functions and Responsibilities as Assigned :

• Obtains required patient demographic and insurance information for McLaren Health, governmental requirements, billing and third-party payer needs.
• Provides courteous and efficient services to customers and accurately documents/verifies patient pre-registration information in a professional and timely manner. Collects, documents, scans all required demographic and financial information.
• Provides physician and/or diagnostic appointment scheduling.
• Maintains knowledge of insurance and authorization requirements. Performs real-time insurance verification and interprets responses. Informs patient of insurance requirements for services provided such as authorizations/pre-certifications and referrals.
• Estimates and collects copays, deductibles, and other patient financial obligations.
• Handles inbound and outbound calls with the goal of growing business, customer satisfaction, and customer retention, providing ease of access to McLaren Health services.
• Maintains professionalism and diplomacy, following specific standards as defined in the department professionalism policy.
• Performs all other duties as assigned.

Qualifications:

Required:

• High school diploma or equivalent
• 1-year experience in a customer service role or health care industry.

Preferred:

• 2-years previous experience with third party medical insurance, HMO and managed care including experience with CPT and ICD-10 coding and m edical terminology

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Daily Work Times: 10:00AM - 6:30PM
• 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.

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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.