Patient Access Scheduling Representative

Selectminds; Shelby Charter Township (MI); On-site; USD 32,000 - 42,000; Full time

Job summary

McLaren Health Care invites applications for a Patient Access Scheduling Representative. This role schedules and registers patients, initiates pre-authorization and referrals, and confirms appointments across McLaren Health facilities.

You will verify insurance, collect copays, and guide patients through the pre-registration process to ensure smooth access to care. Candidates should have a high school diploma and at least 1 year in customer service or healthcare, with knowledge of insurance

Qualifications

• High school diploma or equivalent required.
• 1 year of experience in a customer service role or health care industry preferred.
• Knowledge of CPT/ICD-10 coding and medical terminology is advantageous.

Responsibilities

• 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.
• 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.
• Maintains professionalism and diplomacy, following department policy.

Skills

Customer service

Scheduling

Insurance verification

Medical terminology

Phone communication

Education

High school diploma or equivalent

Tools

CPT coding knowledge

ICD-10 coding

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.

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: 8am - 4:30pm
• 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.