Patient Access Representative - Pediatrics

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

Job summary

PeaceHealth in the United States is seeking a Patient Access Representative specialized for Pediatrics. The role coordinates scheduling, insurance verification, and pre-certification while serving as a clinical liaison with physician practices for pre-visit services.

The position requires strong data accuracy, patient communications, and proficiency in medical terminology and CPT/ICD-10 coding. Daytime, full-time work supports pediatric outpatient operations and patient flow.

Qualifications

• High School Diploma or equivalent.
• At least 1 year medical office or related customer service experience.
• Experience with Microsoft Office applications (Word, Excel, Outlook) preferred.
• Knowledge of Medical Terminology and CPT/ICD-10 coding preferred.
• Ability to manage conflicts professionally.
• Strong time management and customer service skills.

Responsibilities

• Pre-registers/registers patients with accurate demographic and financial data.
• Collects patient balances, co-payments, co-insurance, or other payment types.
• Verifies insurance coverage and obtains prior authorizations or referrals as needed.
• Responds to customer inquiries.
• Assists with departmental coverage as needed.
• Manages daily appointment schedules including reminders and referrals.
• May transport patients using escort or wheeled equipment.
• Performs other duties as assigned.

Skills

Medical terminology

CPT/ICD-10 coding

Insurance process

Conflict resolution

Time management

Customer service

Education

High School Diploma or equivalent

Tools

Word

Excel

Outlook

Job description

Patient Access Representative - Pediatrics

Job type: Full Time, 0.80 FTE, Day position.

Salary range: $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 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.

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.

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