**Experienced Patient Access Scheduling Representative – Remote Opportunity for a Dynamic and Compassionate Individual**

About Us

McLaren Health Care is a fully integrated health network committed to delivering exceptional, evidence-based patient care across Michigan and Indiana. Our comprehensive network includes 13 hospitals, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion, and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. As a leader in cancer care, we are proud to be anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the United States.

Job Summary

We are seeking an experienced Patient Access Scheduling Representative to join our remote team. As a key member of our Patient Access leadership team, you will play a pivotal role in scheduling, registering, and initiating pre-authorization and referrals processes for McLaren Health. If you are a compassionate and detail-oriented individual with excellent communication skills, we encourage you to apply for this exciting opportunity.

Key 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

We are looking for a highly skilled and motivated individual with the following qualifications:

Essential Qualifications

• High school diploma or equivalent
• 1-year experience in a customer service role or health care industry

Preferred Qualifications

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

Skills and Competencies

To succeed in this role, you will need to possess the following skills and competencies:

• Excellent communication and interpersonal skills
• Strong attention to detail and organizational skills
• Ability to work in a fast-paced environment and prioritize tasks effectively
• Knowledge of medical terminology and insurance requirements
• Proficiency in computer software and systems, including electronic medical records

Career Growth Opportunities and Learning Benefits

At McLaren Health Care, we are committed to the growth and development of our employees. As a Patient Access Scheduling Representative, you will have opportunities to:

• Develop your skills and knowledge in patient access and scheduling
• Participate in ongoing training and education programs
• Collaborate with a talented team of healthcare professionals
• Contribute to the delivery of exceptional patient care

Work Environment and Company Culture

Our remote office provides a state-of-the-art and comfortable workspace, equipped with the latest technology and tools to support your success. As a member of our team, you will be part of a dynamic and compassionate culture that values:

• Excellence in patient care
• Collaboration and teamwork
• Continuous learning and growth
• Respect and empathy for all individuals

Compensation, Perks, and Benefits

We offer a competitive salary and a comprehensive benefits package, including:

• Medical, dental, and vision insurance
• Retirement savings plan
• Paid time off and holidays
• Opportunities for professional development and growth

How to Apply

If you are a motivated and compassionate individual with a passion for delivering exceptional patient care, we encourage you to apply for this exciting opportunity. Please submit your application through our website, and we will be in touch to discuss your qualifications further.