Patient Access Scheduling Representative

Position Summary

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 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

Schedule

• Full-time
• Daily Work Times: 9a – 7:30p or 10a – 6:30p
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No