Patient Access Representative - Family Practice

PeaceHealth; Ketchikan (AK); Presencial; USD 34.000 - 46.000; Jornada completa

Descripción de la vacante

PeaceHealth is seeking a Patient Access Representative - Family Practice for a Per Diem/Relief, Day position in Alaska. The role involves pre-registering patients, verifying insurance, and coordinating scheduling with physician practices.

The candidate will handle patient payments, obtain authorizations, and respond to inquiries while supporting coverage needs across clinics in Ketchikan. Requirements include a high school diploma (or equivalent) and at least 1 year in a medical office or

Formación

• Pre-registers/registers patients with accurate demographic and financial data.
• Collects patient balances, co-payments, co-insurance, or other payment types.
• Verifies coverage and ensures insurance requirements are met; obtains prior authorizations/referrals as appropriate.
• Responds to customer inquiries; assists with departmental coverage as needed.

Responsabilidades

• Coordinate scheduling, insurance verification, and pre-certification activities.
• Act as a clinical liaison with physician practices for pre-visit services.
• Manage daily appointment schedules and reminders; assist with referrals.
• Transport patients as needed and perform other duties as assigned.

Conocimientos

Medical terminology

CPT/ICD-10

Insurance processes

Conflict management

Time management

Customer service

Educación

High School Diploma or equivalent

Herramientas

MS Office (Word, Excel, Outlook)

Descripción del empleo

Job Description

PeaceHealth is seeking a Patient Access Representative - Family Practice for a Per Diem/Relief, Day position. The salary range for this job opening at PeaceHealth is $24.54 – $33.14.

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.

Ketchikan Medical Center:

• Management of ED incoming phone calls, and may be required to provide switchboard coverage.
• Monitor OB Prosec/McKinley alarm system.
• May be required to assist with Cardiac Rehab departmental charge entry.

Southeast Alaska - PHMG:

• May work with healthcare team to obtain VA/Tricare or State of Alaska Medicaid Authorization for medical care and/or travel, including air or ground transportation and lodging/meals for patients and their escorts (if applicable), who are referred by PeaceHealth to medical facilities in and outside of the State of Alaska.
• When necessary, effectively communicates with care team, VA/Tricare, or State of Alaska Medicaid travel on behalf of patient and referring provider. Maintains VA and/or State of Alaska log; accurately tracking authorization status and voucher usage for stocking adequate supply.

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.

Benefits

PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.

EEO Verified: EEO & affirmative action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.