Patient Access Rep Lead - General Surgery

PeaceHealth; Bellingham (WA); On-site; USD 69,687,000 - 94,100,000; Full time

Job summary

PeaceHealth in Bellingham, WA seeks a Patient Access Rep Lead - General Surgery for a full-time, day shift position. The role coordinates scheduling, insurance verification and pre-certification, and handles billing concerns to support pre-visit services.

The incumbent registers patients, verifies coverage, obtains prior authorizations, serves as a resource for questions, and assists with day-to-day operations while mentoring staff to meet departmental goals.

Qualifications

• High School Diploma Preferred: or equivalent
• Minimum of 1 year Required: Patient Access Rep experience
• Preferred: Previous leadership experience

Responsibilities

• Pre-registers patients with accurate patient demographic and financial data.
• Verifies coverage and ensures all insurance requirements are met, and obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
• Assists with departmental coverage and day-to-day operations as needed.
• Acts as a resource for questions including compliance and complaints, and troubleshooting patient billing and staff issues.
• May transport patients using escort or wheeled transport equipment.
• Performs other duties as assigned.

Skills

Medical Terminology

CPT/ICD coding

Insurance knowledge

MS Office

Conflict management

Time management

Customer service

Interpersonal skills

Education

High School Diploma

Job description

Description

PeaceHealth is seeking a Patient Access Rep Lead - General Surgery for a Full Time, 1.00 FTE, Day position.

The salary range for this job opening at PeaceHealth is $24.32 – $32.84.Projected Shift is M - F 0800 - 1700.

The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Job Summary

Assists in coordinating some or all of the following activities: scheduling; insurance verification and pre-certification; billing concerns and co-pay collections. Acts as a clinical liaison with physician practices interacting with pre-visit services. Responsible for coordinating the day-to-day functions for assigned area. Assists with ensuring that departmental goals are achieved, timelines met and service excellence provided in all aspects of work. Subject matter expert.

Details of the Position

• Assigns work; plans and manages priorities; provides technical assistance; oversees staff schedules; monitors quality of work; monitors team projects; mentors staff; provides constructive feedback; oversees staff training; ensures quality improvement; ensures compliance with policies; provides leadership feedback on staff performance, and assists with goal setting for the team.
• Pre-registers patients with accurate patient demographic and financial data. May register patients using a mobile cart that is taken into patient room or other areas.
• Verifies coverage and ensures all insurance requirements are met, as well as obtaining all prior authorization and/or referrals as appropriate prior to patient arrival.
• Serves as a resource for questions including compliance and complaints, and trouble-shooting patient billing and staff issues
• Assists with departmental coverage as needed.
• May transport patients utilizing escort or wheeled transport equipment.
• Performs other duties as assigned.

What you bring

• High School Diploma Preferred: or equivalent
• Minimum of 1 year Required: Patient Access Rep experience
• Preferred: Previous leadership experience

Skills

• Demonstrated knowledge of Medical Terminology and CPT/ICD coding (Required)
  
• Knowledge of insurance process and regulations (Required)
• Proficient in using Microsoft Office applications, including Word, Excel and Outlook. (Preferred)
• Must be able to manage conflict effectively and professionally. (Required)
  
• Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required)
  
• Good customer service skills and good interpersonal skills. (Required)

Department / Location Specific Notes

Clinics – NW:

• Performs the job functions of Surgery Scheduler as part of the PAR Lead role

Working Conditions

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.
• Predominantly operates in an office environment.
• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

For additional information or questions, please email Jen Worthington at [e-mail] or call 360-448-0542.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

EEO Affimative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.