Patient Access Scheduling Representative

McLaren Health Care; Lansing (MI); On-site; USD 37,000 - 42,000; Full time

Job summary

McLaren Health Care in Lansing, MI is seeking a Patient Access representative to schedule and pre-register patients, verify insurance, and collect copays.

This role ensures accurate demographic data, manages referrals and pre-authorizations, and supports front-desk operations with courtesy and professionalism.

Office hours are 8am–4:30pm, full-time, with opportunities to grow in patient services within the McLaren Health network.

Qualifications

• High school diploma or equivalent.
• 1 year of experience in a customer service role or health care industry.
• Preferred: experience with CPT and ICD-10 coding and medical terminology.

Responsibilities

• Obtains required patient demographic and insurance information for McLaren Health.
• Provides courteous and efficient pre-registration services and documents/verifies patient information.
• Provides physician and/or diagnostic appointment scheduling.
• Maintains knowledge of insurance and authorization requirements; performs real-time insurance verification.
• Informs patient of insurance requirements for services (authorizations/pre-certifications and referrals).
• Estimates and collects copays, deductibles, and other patient financial obligations.
• Handles inbound and outbound calls to grow business and enhance patient access to McLaren Health services.
• Maintains professionalism and diplomacy per department standards.
• Performs all other duties as assigned.

Skills

Customer service

Insurance verification

Medical terminology

Data entry

Education

High school diploma or equivalent

Job description

Position Summary

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 medical terminology.

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Daily Work Times: 8am - 4:30pm
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No