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Patient Access Scheduling Representative - Casual

McLaren Health Care
Posted 8 months ago, valid for 11 days
Location

Utica, 48316, US

Salary

Competitive

Contract type

Full Time

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Sonic Summary

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  • The position involves scheduling, registering, and managing patient appointments and pre-authorizations for McLaren Health under the Patient Access leadership team.
  • Candidates must have a high school diploma or equivalent and at least 1 year of experience in a customer service role or the healthcare industry.
  • The role requires knowledge of insurance and authorization requirements, as well as the ability to handle financial obligations like copays and deductibles.
  • Preferred qualifications include 2 years of experience with third-party medical insurance and familiarity with CPT and ICD-10 coding.
  • This position emphasizes professionalism and customer satisfaction, making it essential for candidates to maintain a courteous and efficient service approach.

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 including experience with CPT and ICD-10 coding and medical terminology

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans 




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