Patient Access Scheduling Representative

McLaren Health Care; Shelby Township (MI); On-site; USD 32,000 - 42,000; Full time

Job summary

McLaren Health Care in Shelby Township, MI, is seeking a Patient Access Clerk to schedule and register patients, initiate pre-authorizations and referrals, and coordinate diagnostic appointments and procedures.

Requirements include a high school diploma and at least 1 year of customer service or health care experience; preferred are 2 years with medical insurance, CPT/ICD-10 coding, and medical terminology knowledge. Schedule: full-time, 8:00 am–4:30 pm.

Qualifications

• High school diploma or equivalent is required.
• At least 1 year of customer service or healthcare experience.
• Preferred: experience with third-party medical insurance and managed care, CPT/ICD-10 coding, medical terminology.

Responsibilities

• Schedule and register patients and initiate pre-authorization and referrals.
• Verify insurance in real time and explain requirements to patients.
• Collect copays and explain financial obligations to patients.
• Handle calls to grow business and improve customer satisfaction and retention.
• Maintain professionalism and adhere to department policies.

Skills

Customer service

Phone etiquette

Communication

Education

High school diploma

Tools

CPT coding

ICD-10 coding

Medical terminology

Job description

Position Summary

Under the direction of the Patient Access leadership team, schedules, registers, initiates pre‑authorization and referral processes, confirms and maintains patient diagnostic appointments, surgeries and/or medical procedures for McLaren Health.

Essential Functions & 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 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.

Additional Information

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