Patient Access Scheduling Representative

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.

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.

• High school diploma or equivalent
• 1-year experience in a customer service role or health care industry.

• 2-years previous experience with third party medical insurance, HMO and managed care including experience with CPT and ICD-10 coding and medical terminology