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Patient Access Scheduling Representative Senior

McLaren Health Care Corp
Shelby, MI Full Time
POSTED ON 2/21/2025
AVAILABLE BEFORE 5/20/2025

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

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