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McLaren Health Care

Patient Access Scheduling Representative

McLaren Health Care, Shelbina, Missouri, United States

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Patient Access Scheduling Representative

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McLaren Health Care

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

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

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

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans McLaren Health Care is an Equal Opportunity Employer of Minorities, Females, Disabled, Veterans.

Additional Information

Schedule: Full-time

Requisition ID: 25007260

Daily Work Times: Standard Business Hours

Hours Per Pay Period: 80

On Call: No

Weekends: No

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