Patient Access Representative - Admitting

Job Summary

Affords assistance in coordinating activities between scheduling, insurance verification, and pre-certification. Serves as a clinical liaison with physician practices, engaging in pre-visit services.

Details of the Position

• Pre-registers/registers patients with accurate patient demographic and financial data.
• Collects patient balances, co-payment, co-insurance, or other payment types.
• Verifies coverage and ensures all insurance requirements are met, obtaining necessary prior authorizations and referrals as needed.
• Responds to customer inquiries.
• Assists with departmental coverage as needed.

• What You Bring

  • High School Diploma or equivalent.
  • At least 1 year of medical office or related customer service experience.
  • Preferred: Experience with Microsoft Office applications, including Word, Excel, and Outlook.
  • Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding.
  • Knowledge of insurance processes and regulations.
  • Ability to manage conflict effectively and professionally.
  • Excellent time management skills, emphasizing meeting time-sensitive deadlines.
  • Good customer service skills and interpersonal skills.

  Department / Location Specific Notes

  • PHMG and Outpatient Clinics: Preference given to candidates with strong backgrounds in customer service in lieu of medical office or related experience.
  • St. Joseph Medical Center: Management of ED incoming phone calls, switchboard coverage, monitoring OB Prosec/McKinley alarm system, and assisting with Cardiac Rehab departmental charge entry may be required.

  Working Conditions

  • Operates computer and other office equipment.
  • Exerts 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.
  • Mainly operates in an office environment.
  • Communicates and exchanges accurate information.
  • Close visual acuity required for preparing and analyzing data and figures, transcribing, viewing a computer terminal, and extensive reading.

  Department Specific Notes

  • PHMG and Outpatient Clinics: Preference given to candidates with strong backgrounds in customer service in lieu of medical office or related experience.
  • St. Joseph Medical Center: Management of ED incoming phone calls, switchboard coverage, monitoring OB Prosec/McKinley alarm system, and assisting with Cardiac Rehab departmental charge entry may be required.

  Benefits

  • 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.
  • Expanded EAP and mental health program.

  Equal Opportunity Employer

  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, including 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.