Patient Access Scheduling Representative Senior

McLaren Health Care; Shelby Township (MI); On-site; USD 40,000 - 52,000; Full time

Job summary

McLaren Health Care in Michigan seeks a Patient Access Scheduling professional to support scheduling and pre-authorization workflows. You will collect demographic and insurance data, verify coverage in real time, and assist patients with appointments and referrals.

Strong customer service skills are essential, with responsibility for educating patients on insurance requirements and collecting payments. The role operates 9am-5:30pm with full-time hours.

Qualifications

• High school diploma or equivalent required.
• 5-years experience in a customer service role or health care industry.

Responsibilities

• 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.

Skills

Customer service

Insurance knowledge

Education

High school diploma or equivalent

Job description

Position Summary

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.

Position Summary

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
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No