Patient Access Representative Lead - Admitting

PeaceHealth; Ketchikan (AK); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical benefits

Retirement plan 403b

Paid time off

Life & disability insurance

Tuition reimbursement

Wellness program

Mental health support

Job summary

PeaceHealth is seeking a Patient Access Representative Lead - Admitting for a Full Time, 1.00 FTE, Day position. The role includes pre-registering patients, verifying insurance, obtaining prior authorizations, and coordinating daily operations within the admitting area.

The ideal candidate has a high school diploma or equivalent, at least 1 year of Patient Access experience, and prior leadership experience is preferred. Strong knowledge of CPT/ICD coding and insurance processes is required.

Qualifications

• Knowledge of medical terminology and CPT/ICD coding is required.
• Knowledge of insurance processes and regulations is required.
• Proficiency with Microsoft Office (Word/Excel/Outlook) is preferred.
• Must manage conflicts professionally and meet deadlines.
• Strong time-management skills and excellent customer service are essential.

Responsibilities

• Pre-register patients with accurate demographic and financial data.
• Verify coverage and obtain prior authorizations as needed before arrival.
• Assist with scheduling, insurance verification, and pre-certification tasks.
• Serve as a resource for questions and troubleshoot billing or staff issues.
• Coordinate day-to-day functions for the assigned area and assist with coverage as needed.
• May transport patients using escort or wheeled transport equipment.

Skills

Medical terminology

CPT/ICD coding

Insurance process

MS Office

Conflict management

Time management

Customer service

Education

High school diploma or equivalent

Job description

Description

PeaceHealth is seeking a Patient Access Representative Lead - Admitting for a Full Time, 1.00 FTE, Day position.

The salary range for this job opening at PeaceHealth is $25.78 – $34.80.

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 and
• 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

KEMC Hospital Community only:

• Strong background in customer service and/or in a lead/mentorship role may be considered in lieu of Patient Access Rep experience.

PHMG Communities Only:

• Strong background in customer service and/or in a lead role may be considered in lieu of Patient Access Rep 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 [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 Aff... in accordance with applicable local, state or federal laws.