Position Summary:
Responsible for completing tasks associated with specific assignments with little or no direction. 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:
- Provides training and guidance to Patient Access Scheduling Representative as required.
- May be assigned special projects related to Patient Access Scheduling workflow, procedures, etc.
- 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.
Qualifications:
Required:
- High school diploma or equivalent required
- 5-years 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
- Schedule: Full-time
- Requisition ID: 26003461
- Daily Work Times: 9a - 7:30p or 9a - 5:30p
- Hours Per Pay Period: 80
- On Call: No
- Weekends: No