Patient Access Scheduling Representative

McLaren Health Care; Shelby Township (MI); On-site; USD 36,000 - 48,000; Full time

Job summary

McLaren Health Care seeks a Patient Access professional to schedule, register, and initiate pre-authorizations and referrals, and to confirm diagnostic appointments and procedures. You will collect patient demographics and insurance information, perform real-time insurance verification, and explain authorization requirements to patients.

This full-time role requires a high school diploma and at least 1 year of customer service experience in healthcare or a related field.

Qualifications

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

Responsibilities

• Schedules, registers, initiates pre-authorization and referrals process, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures.
• Obtains required patient demographic and insurance information for McLaren Health, governmental requirements, billing and third-party payer needs.
• Provides courteous and efficient services, documents patient preregistration information and collects demographic/financial data.
• Performs real-time insurance verification and informs patients of insurance requirements.

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 m edical terminology

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Requisition ID: 26003434
• Daily Work Times: 10a - 6:30p / 10:30a - 7p
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No