Position Summary:

Under the direction of the Patient Access leadership team, the Patient Access Scheduling Representative 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:

• Accurately and efficiently 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
• Displays broad knowledge of overall services offered by McLaren Health. Handles inbound and outbound calls with the goal of growing business, customer satisfaction, and customer retention, providing ease of access to McLaren Health services.
• Critical thinking skills, ability to multitask and succeed in a rapidly changing environment
• Always maintains professionalism and diplomacy, following specific standards as defined in the department professionalism policy.
• Performs duties otherwise assigned by Management

Qualifications:
Required:

• Strong Customer Service Skills
• High school diploma or equivalent required
• 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
• Previous experience with CPT and ICD-10 coding
• Working knowledge of Windows, Excel, Word, Outlook, Cerner, EPIC or other EMR system, Electronic Eligibility System and various websites for third party payers for verification is preferred
• Medical terminology preferred

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans