Patient Access Scheduling Representative - Remote

McLaren Health Care; Shelby Township (MI); Remote; USD 35,000 - 45,000; Full time

Job summary

A reputable health care provider seeks a Full-Time Patient Access Representative in Shelby Township, MI. The role includes scheduling appointments, verifying insurance, and providing excellent customer service. Candidates should possess a high school diploma and relevant customer service experience, preferably in healthcare.

Qualifications

• 1-year experience in a customer service role or health care industry.
• 2-years previous experience with third party medical insurance is preferred.

Responsibilities

• Schedules, registers, initiates pre-authorization, and confirms patient appointments.
• Obtains required patient information for billing and insurance needs.
• Handles inbound and outbound calls to support customer satisfaction.

Skills

Customer Service

Communication

Insurance Verification

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: 23005850
• Daily Work Times: Standard Business Hours
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No