Patient Access Scheduling Representative
McLaren Health Care · Shelby Township, MI · 1 wk ago
HealthcareFull-time
Position Summary
Essential Functions and Responsibilities as Assigned
- 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.
Qualifications
- High school diploma or equivalent
- 1-year experience in a customer service role or health care industry
- 2-years previous experience with third party medical insurance, HMO and managed care including experience with CPT and ICD-10 coding and medical terminology (preferred)