What are the responsibilities and job description for the Patient Access Scheduling Representative position at McLaren Health Care?
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:
- 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
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Additional Information