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 manage referrals for diagnostic appointments and procedures.

The role requires attention to insurance details, accurate data capture, and courteous customer service to support efficient access to health care services. This on-site, full-time position offers daily shifts and a team-oriented environment with growth opportunities.

Qualifications

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

Responsibilities

• Obtains required patient demographic and insurance information for McLaren Health and meets governmental/billing/third-party payer needs.
• Provides courteous and efficient service and accurately documents pre-registration information; collects, documents, and scans demographic and financial data.
• Provides physician and/or diagnostic appointment scheduling.
• Maintains knowledge of insurance and authorization requirements; performs real-time insurance verification and explains requirements to patients.
• Estimates and collects copays, deductibles, and other patient financial obligations.
• Handles inbound and outbound calls to grow business, improve customer satisfaction, and ensure access to McLaren Health services.
• Maintains professionalism and adherence to department policy.
• 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.

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
• Daily Work Times: 10a - 6:30p / 10:30a - 7p
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No