Patient Access Representative - Clinical Support

PeaceHealth; Springfield (OR); On-site; USD 32,000 - 43,000; Full time

Job summary

PeaceHealth is seeking a Patient Access Representative - Clinical Support to join our team in a full-time role in Oregon. You will coordinate scheduling, verify insurance, and handle pre-certifications while acting as a clinical liaison with physician practices.

Responsibilities include registering patients, collecting payments, verifying coverage, and arranging referrals. Strong customer service and accurate data handling are essential; prior medical office experience is preferred.

Qualifications

• High School Diploma preferred or equivalent.
• Minimum of 1 year in a medical office or related customer service role.
• Experience with Microsoft Office applications (Word, Excel, Outlook) preferred.

Responsibilities

• Pre-registers/registers patients with accurate demographic and financial data.
• Collects patient balances, co-payments, and other payment types.
• Verifies coverage and obtains prior authorization and referrals as needed.
• Responds to customer inquiries and provides information.
• Assists with departmental coverage as needed.
• Manages daily appointment schedules and reminders for referrals.
• May transport patients using escort or wheeled transport equipment.
• Performs other duties as assigned.

Skills

Medical terminology

CPT/ICD-10 coding

Insurance process

Conflict management

Time management

Customer service

Interpersonal skills

Education

High school diploma

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Job Description

PeaceHealth is seeking a Patient Access Representative - Clinical Support for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is $23.16 – $31.26. 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 the activities between scheduling, insurance verification and pre-certification. Acts as a clinical liaison with physician practices interacting with pre-visit services.

Details of the Position

• Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart.
• Collects patient balances, co-payment, co-insurance, or other payment types.
• 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.
• Responds to customer’s inquiries.
• Assists with departmental coverage as needed.
• Manages daily appointment schedules which may include reminder calls and calling all referrals.
• 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: Medical office or related customer service experience
• Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook

Skills

• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding. (Preferred)
• Knowledge of insurance process and regulations. (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

Care Delivery Area and Outpatient Clinics:

• Strong background in customer service may be considered in lieu of medical office or related experience.

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 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.

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