Patient Access Scheduling Representative - Remote - McLaren Careers

Lensa; City of Utica (NY); Remote; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Access Representative to join their team. In this vital role, you will be responsible for scheduling, registering, and confirming appointments while ensuring that patients receive the highest level of service. You will be part of a dynamic healthcare environment, where your skills in customer service and insurance verification will directly impact patient care. This full-time position offers an exciting opportunity to grow within the healthcare sector, making a difference in the lives of patients and their families. If you are passionate about healthcare and customer service, this role is perfect for you!

Qualifications

• 1+ years in customer service or healthcare industry required.
• Knowledge of insurance and authorization requirements preferred.

Responsibilities

• Schedule and register patients for appointments and surgeries.
• Verify insurance information and inform patients of requirements.
• Handle inbound and outbound calls to enhance customer satisfaction.

Skills

Customer Service

Insurance Verification

Medical Terminology

CPT and ICD-10 Coding

Education

High School Diploma

Experience in Healthcare

Job description

Lensa is the leading career site for job seekers at every stage of their career. Our client, McLaren Health Care, is seeking professionals. Apply via Lensa today!

Position Summary

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

Essential Functions and Responsibilities

1. Obtain required patient demographic and insurance information for McLaren Health, governmental requirements, billing, and third-party payer needs.
2. Provide courteous and efficient services to customers and accurately document and verify patient pre-registration information in a professional and timely manner. Collect, document, and scan all required demographic and financial information.
3. Schedule physician and/or diagnostic appointments.
4. Maintain knowledge of insurance and authorization requirements. Perform real-time insurance verification and interpret responses. Inform patients of insurance requirements for services provided, such as authorizations/pre-certifications and referrals.
5. Estimate and collect copays, deductibles, and other patient financial obligations.
6. Handle inbound and outbound calls to grow business, ensure customer satisfaction, and promote customer retention, facilitating access to McLaren Health services.
7. Maintain professionalism and diplomacy, adhering to department standards as defined in the professionalism policy.
8. Perform all other 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 or more years of experience with third-party medical insurance, HMO, and managed care, including CPT and ICD-10 coding and medical terminology

Additional Information

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

Seniority Level

Entry level

Employment Type

Full-time

Job Function

Health Care Provider

Industries

IT Services and IT Consulting

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Additional Roles

• Patient Access Scheduling Representative - Remote
• Correspondence Processor - Remote (Must work PST hours)