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Patient Access Scheduling Representative - Remote - McLaren Careers

McLaren Health Care • Remote • Posted 30+ days ago

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Remote • Full-time • Entry Level

Job Highlights

Using AI ⚡ to summarize the original job post

Under the direction of the Patient Access leadership team, the Patient Access Scheduling Representative is responsible for scheduling, registering, initiating pre-authorization and referrals process, confirming and maintaining patient diagnostic appointments, surgeries, and/or medical procedures for McLaren Health. This role involves obtaining required patient demographic and insurance information, providing courteous and efficient services, maintaining knowledge of insurance and authorization requirements, and handling inbound and outbound calls to grow business, customer satisfaction, and retention.

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.

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

About McLaren Health Care

McLaren Health Care is a reputable healthcare organization based in Michigan, United States, operating 13 hospitals, outpatient clinics, and other healthcare facilities. It offers a wide range of healthcare services including cardiology, oncology, orthopedics, neurology, and critical care with a focus on patient safety and quality outcomes. McLaren Health Care is known for its excellent care, patient satisfaction, and strategic investments to enhance services and collaborations within the region.

Full Job Description

**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 includingexperience with CPT and ICD-10 coding and medical terminology

**Equal Opportunity Employer of Minorities/Females/Disabled/Veterans**