Patient Access Scheduling Representative

About the role

Under the direction of the Patient Access leadership team, you will schedule, register, initiate pre-authorization and referrals, and confirm and maintain patient diagnostic appointments, surgeries, and/or medical procedures for McLaren Health.

Responsibilities

• Obtain required patient demographic and insurance information for McLaren Health, governmental requirements, billing, and third-party payer needs.
• Provide courteous and efficient services to customers and accurately document/verify patient pre-registration information in a professional and timely manner.
• Collect, document, and scan all required demographic and financial information.
• Provide physician and/or diagnostic appointment scheduling.
• 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.
• Estimate and collect copays, deductibles, and other patient financial obligations.
• Handle inbound and outbound calls with the goal of growing business, customer satisfaction, and customer retention, providing ease of access to McLaren Health services.
• Maintain professionalism and diplomacy, following specific standards as defined in the department professionalism policy.
• Perform 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

• Type: Full-time
• Daily Work Times: 9:00 AM – 7:30 PM or 10:00 AM – 6:30 PM
• Hours Per Pay Period: 80
• On Call: No
• Weekends: No