Patient Access Scheduling Representative

McLaren; Shelby Charter Township (MI); On-site; USD 32,000 - 46,000; Full time

Job summary

McLaren Health is seeking a Patient Access Scheduler to manage registration, scheduling, and insurance verification for diagnostic procedures. You will collect demographic and financial information and communicate insurance requirements to patients.

This full-time role emphasizes courteous service and accurate data handling. Responsibilities include coordinating physician and diagnostic appointments, real-time insurance verification, and collecting copays and deductibles.

Qualifications

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

Responsibilities

• Obtains required patient demographic and insurance information for McLaren Health, governmental requirements, billing and third-party payer needs.
• Provides courteous and efficient services and documents/verifies patient pre-registration information in a professional and timely manner; collects and scans 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.
• Estimates and collects copays, deductibles, and other patient financial obligations.
• Handles inbound and outbound calls to grow business, improve customer satisfaction and retention, and provide access to McLaren Health services.
• Maintains professionalism and diplomacy following department standards.
• Performs all other duties as assigned.

Skills

Customer service

Healthcare experience

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

1. Obtains required patient demographic and insurance information for McLaren Health, governmental requirements, billing and third-party payer needs.
2. 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.
3. Provides physician and/or diagnostic appointment scheduling.
4. 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.
5. Estimates and collects copays, deductibles, and other patient financial obligations.
6. Handles inbound and outbound calls with the goal of growing business, customer satisfaction, and customer retention, providing ease of access to McLaren Health services.
7. Maintains professionalism and diplomacy, following specific standards as defined in the department professionalism policy.
8. 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
• Requisition ID: 26004106
• Daily Work Times: 9a-7:30p or 10a-6:30p
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No