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
– 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.
– Maintains professionalism and diplomacy, following specific standards as defined in the department professionalism policy.
– 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 includingexperience with CPT and ICD-10 coding and medical terminology
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
