Patient Access Scheduling Representative Senior

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. 

• →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. 

• High school diploma or equivalent required
• 5-years experience in a customer service role or health care industry.

• 2-years previous experience with third party medical insurance, HMO and managed care including  experience with CPT and ICD-10 coding and medical terminology