Patient Access Scheduling Representative Senior

Position Summary

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.
• Collections, 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

• 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.

Additional Information

Schedule: Full-time

Requisition ID: 26003461

Daily Work Times: 9a - 7:30p or 9a - 5:30p

Hours Per Pay Period: 80

On Call: No

Weekends: No