Patient Access Representative
About The Position
Under the direction of the Patient Access leadership team, this role involves scheduling, registering, initiating pre-authorization and referral processes, and confirming/maintaining patient diagnostic appointments, surgeries, and/or medical procedures for McLaren Health. The position requires obtaining necessary patient demographic and insurance information, providing courteous and efficient customer service, accurately documenting and verifying pre-registration information, and collecting/scanning required demographic and financial data. Responsibilities also include physician and diagnostic appointment scheduling, maintaining knowledge of insurance and authorization requirements, performing real-time insurance verification, informing patients of financial obligations, and handling inbound/outbound calls to enhance business growth, customer satisfaction, and retention. Maintaining professionalism and diplomacy according to departmental standards is also essential.
Requirements
- High school diploma or equivalent
- 1-year experience in a customer service role or health care industry.
Nice To Haves
- 2-years previous experience with third party medical insurance, HMO and managed care including experience with CPT and ICD-10 coding and medical terminology
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, 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.
- Performs all other duties as assigned.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
