Patient Access Representative - Orthopedics

PeaceHealth; Bellingham (WA); On-site; USD 32,000 - 43,000; Full time

Job summary

PeaceHealth is seeking a Patient Access Representative - Orthopedics for a Full Time, 1.00 FTE, Day position. The role includes pre-registering patients, verifying insurance, and coordinating pre-certification to ensure smooth patient flow in orthopedic services.

The position emphasizes accurate data entry, timely payments, and strong customer service in a fast-paced healthcare setting. Proficiency with Microsoft Office is preferred.

Qualifications

• Knowledge of medical terminology and CPT/ICD-10 coding is preferred.
• Experience verifying insurance and obtaining prior authorizations.
• Strong customer service skills and ability to manage time effectively.

Responsibilities

• Pre-register/register patients with accurate demographic and financial data.
• Collect balances including co-pays and co-insurance.
• Verify coverage and obtain prior authorizations/referrals as needed.
• Respond to patient inquiries and support scheduling and pre-certification.
• Assist with department coverage and maintain daily appointment schedules.

Skills

Medical terminology

Insurance verification

Customer service

Time management

Conflict resolution

Education

High School Diploma

Tools

Microsoft Office

Job description

Description

PeaceHealth is seeking a Patient Access Representative - Orthopedics 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

St. Joseph 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.

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.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affidicated Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.