Patient Access Representative Lead - Clinical Support

PeaceHealth; Springfield (OR); On-site; USD 34,000 - 45,000; Full time

Job summary

PeaceHealth in the United States is seeking a Patient Access Representative Lead - Clinical Support for a full-time day shift. The role coordinates scheduling, insurance verification, pre-certification and billing concerns, and acts as a liaison with physician practices to ensure timely pre-visit services.

The ideal candidate has at least 1 year of patient access experience, strong knowledge of medical terminology and CPT/ICD coding, and proficiency with Microsoft Office.

Qualifications

• Minimum 1 year of Patient Access Rep experience
• Leadership experience preferred
• High School Diploma or equivalent preferred
• Knowledge of CPT/ICD coding and medical terminology
• Proficient with Microsoft Office (Word, Excel, Outlook)
• Strong customer service and interpersonal skills

Responsibilities

• Assigns work, prioritizes tasks, mentors staff and oversees training
• Pre-registers patients with accurate demographic and financial data
• Verifies coverage and obtains necessary prior authorizations
• Acts as a clinical liaison with physician practices for pre-visit services
• Supports day-to-day department operations and service excellence
• May transport patients as needed
• Performs other duties as assigned

Skills

Medical terminology & CPT/ICD coding

Insurance process & regulations

Microsoft Office (Word, Excel, Outlook

Conflict management

Time management

Customer service & interpersonal

Education

High School Diploma or equivalent

Job description

Description

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

The salary range for this job opening at PeaceHealth is $24.32 – $32.84.

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)

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 about this position, 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.

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