Patient Access Scheduling Representative Senior

Mclaren-Health-Care; Shelby Charter Township (MI); On-site; USD 42,000 - 56,000; Full time

Job summary

McLaren Health Care is seeking a Senior Patient Access Scheduling Representative to manage scheduling, registrations, and pre-authorizations for procedures and visits. You will verify demographics and insurance details, communicate requirements, and collect copays in a courteous, timely manner.

The role emphasizes real-time insurance verification, referrals management, and ensuring smooth patient flow through the scheduling process. Prior healthcare or insurance experience is highly valued.

Qualifications

• Requires high school diploma or equivalent.
• At least 5 years in a customer service role or health care.
• Preferred: experience with third party medical insurance, HMO and managed care including CPT/ICD-10 coding.

Responsibilities

• Schedules, registers, initiates pre-authorization and referrals for McLaren Health.
• Obtains and verifies patient demographic and insurance information.
• Performs real-time insurance verification and explains requirements to patients.
• Collects copays and other financial obligations and documents information.
• Handles patient calls to grow business and improve satisfaction.

Skills

Customer service

Healthcare industry experience

Medical terminology

Insurance knowledge

Education

High school diploma or equivalent

Tools

CPT coding

ICD-10 coding

Job description

McLaren Health Care, headquartered in Grand Blanc, Michigan, is a $7.3 billion, fully integrated health care delivery system committed to quality, evidence-based patient care and cost efficiency. The McLaren system includes 12 hospitals in Michigan, ambulatory surgery centers, imaging centers, a 640-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 732,838 lives in Michigan and Indiana, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer centers. McLaren has 20,000 full-, part-time and contracted employees and more than 113,000 network providers throughout Michigan, Indiana and Ohio.

Patient Access Scheduling Representative Senior

Responsible for completing tasks associated with specific assignments with little or no direction. 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:

• Provides training and guidance to Patient Access Scheduling Representative as required.
• May be assigned special projects related to Patient Access Scheduling workflow, procedures, etc.
• 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.

Qualifications:
Required:

• High school diploma or equivalent required
• 5-years 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 medical terminology

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Additional Information

• Schedule: Full-time
• Requisition ID: 26010312
• Daily Work Times: 9am - 5:30pm
• On Call: No

Equal Opportunity Employer

McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.

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McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status,national origin, disability, genetic information, height or weight, protected veteran or other classificationprotected by law.