Patient Access Scheduling Representative

8 hours ago

Shelby, MI, United States McLaren USA Full time
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 as Assigned:

  1. Obtains required patient demographic and insurance information for McLaren Health, governmental requirements, billing and third-party payer needs.
  2. 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.
  3. Provides physician and/or diagnostic appointment scheduling.
  4. 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.
  5. Estimates and collects copays, deductibles, and other patient financial obligations.
  6. Handles inbound and outbound calls with the goal of growing business, customer satisfaction, and customer retention, providing ease of access to McLaren Health services.
  7. Maintains professionalism and diplomacy, following specific standards as defined in the department professionalism policy.
  8. 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


Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

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