Patient Services Rep - Pharmacy (.8 FTE)

EvergreenHealth; Kirkland (WA); On-site; USD 30,000 - 50,000; Full time

Benefits offered by this job

Medical Insurance

Vision Insurance

Dental Insurance

401(k) Plan

Tuition Assistance

Paid Time Off

Job summary

EvergreenHealth in Kirkland, WA seeks a front-desk patient access representative to coordinate scheduling, registrations, and billing support. You will manage calls, verify insurance, assist patients with portal enrollment, and coordinate communications with clinicians.

We value strong customer service, calm problem-solving, and the ability to multi-task in a fast-paced clinical environment. This role includes patient interaction, HIPAA compliance, and team collaboration.

Qualifications

• High School diploma or equivalent.
• 1 year of experience in a customer service role.
• Excellent interpersonal communication skills with diverse individuals.
• Ability to problem solve and stay calm under pressure.
• Strong written communication and legibility.
• Ability to work independently and in a team environment.
• Active listening and de-escalation skills.
• Prioritize multiple tasks and follow protocols.

Responsibilities

• Coordinate patient scheduling for in-person or virtual visits to optimize provider schedules.
• Manage multi-line phone system and direct urgent calls to clinical staff.
• Verify insurance coverage across systems and educate patients on co-pays and plans.
• Enroll patients on the patient portal and explain its use and benefits.
• Coordinate outreach communications and manage patient messages.
• Advise on eligibility and assist with processing billing and referrals.
• Maintain tidy waiting areas and support infection control standards.
• Assist with open/close duties and other duties as assigned.

Skills

Customer service

Interpersonal

Problem solving

Written communication

Independent work

Active listening

Multi-tasking

Windows software

Driver's license

Education

High School Diploma or equivalent

Job description

Wage Range: $22.59 - $36.14 per hour

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary

Serves as the first point-of-contact for patients in a fast-paced clinical environment and utilizes exceptional customer service skills to coordinate care and provide an excellent patient experience. Responsibilities include pre-registration/scheduling, registration/check in, message and queue management, medical records request management, referral management, and billing/payment processing/charge reconciliation.

Primary Duties

1. Coordinates all aspects of patient scheduling to include creating initial and follow up in-person or virtual visit appointments; rescheduling, cancelling and managing self-scheduled appointments in a fashion that meets patient care needs and optimizes provider schedules.
2. Manages multi-line telephone system (incoming and outgoing). Follows guidelines to identify and direct patients calling with emergent/urgent symptoms to appropriate clinical staff for screening.
3. Sets up and verifies active and contracted insurance coverage in multiple systems and/or educates patients on co-insurance/co-pay, self-pay, L&I, MVA, Medicaid, Medicare/Medicare Advantage, etc.
4. Enrolls patient on patient portal and explains its attributes, benefits and recommended use.
5. Requests, confirms and validates interpreter services.
6. Greets patients and completes check-in process. Directs and assists patients with completion of appropriate paperwork.
7. Monitors various group Message Pools and responds to patient requests, questions and concerns within established organizational timelines.
8. Takes complete and accurate messages and coordinate communication between appropriate interdisciplinary staff. Coordinates emergent or add-on patient care requests with clinical team and provider.
9. Manages appointment queues (Ex. future appointment orders; cancellation list; wait list).
10. Prepares, documents and sends various patient outreach communications.
11. Initiates outside medical record requests by requesting materials from admissions and emergency departments, physicians and other authorized hospital staff to support provider visits and closure of care gaps for Health Maintenance. Prepares and scans documents for Health Information Management department processing.
12. Manages incoming referrals through clinic documentation and established tracking protocol. Facilitates communication between the clinic, patient and insurance company, as required.
13. Identifies and collects copayments in adherence with organizational goals.
14. Cultivates EvergreenHealth culture of community by supporting new staff training.
15. Monitors and maintains tidy patient waiting and staff work areas in accordance with infection control standards and safety protocols.
16. Orders and restocks patient forms and non-medical supplies.
17. Files, faxes, scans, photocopies and distributes mail.
18. Performs open and close duties, which vary from clinic to clinic.
19. Performs other duties as assigned

License, Certification, Education or Experience

REQUIRED for the position:

High School diploma or equivalent

• 1 year of experience in a customer service role
• Excellent interpersonal communication skills, including the capacity to communicate with a diverse range of individuals and dispositions
• Ability to problem solve, stay calm under pressure and present oneself in a pleasant and professional manner when responding to inquiries from EH staff and patients (Ex. service recovery)
• Strong written communication skills, including ability to spell accurately and write legibly
• Ability to work independently, show initiative and work productively within a team environment
• Actively listen to and validate patient conversations. Employ de-escalating techniques as appropriate
• Ability to prioritize multiple tasks and ability to access, analyze and apply concepts associated with protocols, policy and guidelines
• Keyboarding skills and working knowledge of Windows based software systems
• Float Pool Assignment: If this is a designated float pool position, will work in various clinics as needed; traveling is required. Must have a current Washington State Driver’s License and proof of insurability.

DESIRED for the position:

• Previous experience in a medical reception or similar administrative role
• Knowledge of basic medical terminology/common medications
• Knowledge and experience accessing/verifying insurance coverage. Experience using Real Time Eligibility (RTE) Payer/Insurance Portals
• Electronic Medical Record (EMR) experience
• Familiarity with HIPAA and other health industry compliance standards

Benefit Information:

Choices that care for you and your family

At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans 457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits
• Cafeteria & Gift Shop Discount

View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.

Kirkland Employee Benefits | Kirkland, WA | EvergreenHealth