Patient Access Scheduling Representative - Remote - McLaren Careers

Lensa; City of Utica (NY); Remote; USD 35,000 - 50,000; Full time

Job summary

A leading healthcare provider is seeking a Patient Access Representative to join their team. The role involves scheduling and registering patients, verifying insurance information, and ensuring a high level of customer service. Ideal candidates will have a high school diploma and experience in customer service or healthcare. This full-time position offers a chance to contribute to patient care and support within a dynamic environment.

Qualifications

• At least 1 year of experience in a customer service role or healthcare industry.
• Knowledge of medical terminology and insurance processes preferred.

Responsibilities

• Schedule and register patients for appointments and procedures.
• Verify patient insurance information and collect copays.
• Provide customer service and maintain patient records.

Skills

Customer service

Insurance verification

Documentation

Education

High school diploma or equivalent

Job description

Position Summary

Under the direction of the Patient Access leadership team, the Patient Access Representative is responsible for scheduling, registering patients, initiating pre-authorizations and referrals, and confirming and maintaining patient diagnostic appointments, surgeries, and/or medical procedures for McLaren Health.

Essential Functions and Responsibilities

• Obtain required patient demographic and insurance information, ensuring compliance with billing, governmental, and third-party payer requirements.
• Provide courteous and efficient customer service, accurately documenting and verifying patient pre-registration information in a professional and timely manner. Collect, document, and scan all required demographic and financial information.
• Schedule physician and diagnostic appointments.
• Maintain knowledge of insurance and authorization requirements, perform real-time insurance verification, interpret responses, and inform patients of insurance requirements such as authorizations, pre-certifications, and referrals.
• Estimate and collect copays, deductibles, and other patient financial obligations.
• Handle inbound and outbound calls to enhance business growth, customer satisfaction, and retention, facilitating access to McLaren Health services.
• Maintain professionalism and diplomacy, adhering to department standards.
• Perform additional duties as assigned.

Qualifications

Required:

• High school diploma or equivalent
• At least 1 year of experience in a customer service role or healthcare industry

Preferred:

• Two years of experience with third-party medical insurance, HMO, managed care, CPT, ICD-10 coding, and medical terminology

Additional Information

We are an Equal Opportunity Employer of Minorities, Females, Disabled, and Veterans.

Job Details

• Seniority Level: Entry level
• Employment Type: Full-time
• Job Function: Healthcare Provider