Patient Access Scheduling Representative

McLaren Health Care•Shelby Township, MI

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 excellent customer service, accurately documenting and verifying pre-registration details, and collecting/scanning required information. Responsibilities also include scheduling physician and diagnostic appointments, staying knowledgeable about insurance and authorization requirements, performing real-time insurance verification, and informing patients of their financial obligations such as copays, deductibles, authorizations, pre-certifications, and referrals. The role involves handling inbound and outbound calls to enhance business growth, customer satisfaction, and retention, ensuring ease of access to McLaren Health services. Maintaining professionalism and diplomacy according to departmental standards is also a key aspect of this position. All other assigned duties are also part of the role.

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.