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 seeks a patient access representative to manage scheduling and patient interactions efficiently. Ideal candidates will have a strong customer service background, preferably within healthcare, and be knowledgeable about insurance processes. This role supports patient care by ensuring smooth registration and appointments.

Qualifications

• 1-year experience in a customer service role or healthcare industry required.
• 2-years experience with third-party medical insurance preferred.

Responsibilities

• Schedules, registers, and processes patient appointments for McLaren Health.
• Performs real-time insurance verification and informs patients of requirements.
• Estimates and collects copays and other financial obligations.

Skills

Customer service

Insurance verification

Appointment scheduling

Education

High school diploma or equivalent

Job description

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:

• 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 healthcare 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.

Note: The repetitive job postings about virtual call center roles are irrelevant to this healthcare position and should be removed for clarity.