Patient Access Representative - Pediatric Clinic Admin

PeaceHealth; Springfield (OR); On-site; USD 48,000 - 65,000; Full time

Job summary

PeaceHealth is seeking a Patient Access Representative for the Pediatric Clinic Admin to support scheduling, insurance verification, and pre-certification processes. The role acts as a clinical liaison with physician practices handling pre-visit services.

The responsibilities include patient pre-registration, collecting payments, verifying coverage, and coordinating referrals. This full-time, day shift position focuses on accurate data handling and delivering excellent customer service.

Qualifications

• High School Diploma Preferred or equivalent.
• Minimum of 1 year Medical office or related customer service experience.
• Experience with Microsoft Office applications, including Word, Excel and Outlook.

Responsibilities

• Pre-registers/registers patients with accurate demographics and financial data.
• Collects patient balances, co-payments, co-insurance, or other payments.
• Verifies coverage and ensures all insurance requirements are met, and obtains prior authorizations/referrals as appropriate.
• Responds to customer inquiries.
• Manages daily appointment schedules and referrals.
• May transport patients using escort or wheeled transport equipment.

Skills

Medical terminology

CPT/ICD-10 coding

Insurance processes

Conflict resolution

Time management

Customer service

Education

High school diploma or equivalent

Tools

Microsoft Office

Excel

Outlook

Job description

Patient Access Representative - Pediatric Clinic Admin

Full Time, 1.00 FTE, Day position. Salary: $23.16 – $31.26.

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 Do 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.

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 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.

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