Patient Access Scheduling Representative

About the Role

Under the direction of the Patient Access leadership team, this role involves scheduling, registering, initiating pre-authorization and referrals, confirming and maintaining patient diagnostic appointments, surgeries, and/or medical procedures for McLaren Health.

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, and 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 patients 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
  • 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