Patient Access Representative - Orthopedics

PeaceHealth Corporation; 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. You will pre-register patients, verify insurance, collect payments and coordinate with scheduling and pre-certification teams to support smooth visits.

The role involves handling inquiries, managing daily appointment schedules, and providing accurate information to patients and families. A strong customer service background is essential.

Qualifications

• 1 year of medical office or related customer service experience.
• Preferred knowledge of CPT/ICD-10 coding.
• Knowledge of insurance processes and regulations.
• Excellent time management and deadline orientation.
• Strong customer service and interpersonal skills.

Responsibilities

• Coordinate scheduling, insurance verification and pre-certification.
• Act as liaison between physicians and pre-visit services.
• Pre-register/register patients with demographics and payment data.
• Collect patient balances and payments.
• Verify coverage and obtain prior authorizations/referrals.
• Respond to inquiries and provide coverage for other departments.
• Manage daily appointment schedules and reminders.
• Transport patients as needed.
• Perform other duties as assigned.

Skills

Time management

Customer service

Interpersonal skills

Conflict management

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

Job 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.

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 and
• Preferred: Experience with Microsoft Office applications, including Word, Excel and Outlook
• 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

PHMG and Outpatient Clinics

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

St. Joseph Medical Center, Peace Island Medical Center, United General Medical Center, Ketchikan Medical Center, Cottage Grove Medical Center and Peace Harbor 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

Lifting

• 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.

Environmental Conditions

• Predominantly operates in an office environment.

Mental/Visual

• 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: 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 Affimitive Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.