Patient Access Rep

Community Health at Home; Gig Harbor (WA); On-site; USD 35,000 - 45,000; Full time

Job summary

A leading healthcare organization is seeking a full-time Patient Access Representative for the Franciscan Medical Clinic in Gig Harbor. This role is crucial for managing patient intake and providing exceptional customer service, ensuring all administrative components are handled efficiently. Candidates should possess strong communication skills and a background in customer service, particularly in a healthcare setting.

Qualifications

• Customer service experience required, with a preference for healthcare or call center.
• Knowledge of insurance authorization/billing requirements.
• Strong communication and customer interaction skills.

Responsibilities

• Register and check patients in/out.
• Collect and enter patient demographic and financial data.
• Handle referrals, authorizations, and scheduling.

Skills

Customer service skills

Critical thinking

Knowledge of medical terminology

Education

One year of customer service experience

Healthcare or Call Center experience

Job description

Responsibilities

Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently looking for a full-time Patient Access Rep for the fast-paced Franciscan Medical Clinic- Kimball in Gig Harbor, WA. Supportive team with excellent growth opportunities. Free parking and no nights, weekends or organizationally recognized holidays required.

Job Summary:

This job is responsible for performing a variety of general administrative support duties associated with the patient intake process for the Franciscan Medical Group (FMG) outpatient clinics in accordance with established internal guidelines and procedures. Incumbents typically interact with patients directly at the front desk and/or on the phone to perform follow-up activities.

Work includes: 1) ensuring patient is checked in/out for care; 2) collecting and entering demographic and financial data in the patient’s medical record; 3) gathering/validating insurance information using routine methods, scheduling patient appointments; 4) collecting co-pays, co-insurance and prior balances; 5) obtaining and processing of referrals, authorizations and pre-certifications for patients requiring ancillary testing and/or surgical procedures; and 6) working with patients to ensure the patient’s referral needs are fulfilled and determining insurance benefit coverage for hardware related items such as retail contact lenses by working directly with patients’ insurance carriers, ever needed.

Work requires critical thinking, hearing the needs of the patient meeting those needs by offering multiple options and solutions, knowledge of insurance authorization/billing requirements and privacy/confidentiality practices, as well as knowledge of medical terminology and the patient intake process. An incumbent following proper channels of communication in handling daily and routine problems and recognizing issues that need referral to management. Strong customer service skills are required offering the highest level of service to every patient every time.

An incumbent is generally located either behind-the-scenes, interacting with patients on the phone or at the front desk, interacting with patients directly.

Essential Duties:

• Registers and/or checks patients in/out.
• Handles and reconciles payments.
• Continually monitor and reconcile issues prior to patient visit.
• Processes referral orders and/or pre-authorizations.
• Coordinates appointments and ancillary services.
• Responds to patient questions regarding routine billing and insurance matters.
• Coordinates patient instructional/education activities.

Qualifications

Education/Work Experience:

• One year of customer service work experience is required, two years preferred. Healthcare or Call Center experience preferred.

Overview

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.