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 :
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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