Patient Access Representative - General Surgery

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 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 prior authorizations and referrals as necessary.
• Responds to customer inquiries.
• Affords 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.
  • Knowledge of Medical Terminology and CPT/ICD-10 coding.
  • Knowledge of insurance processes and regulations.
  • Effective conflict management and professional communication skills.
  • Excellent time management and ability to meet time-sensitive deadlines.
  • Good interpersonal and customer service skills.

  Department / Location Specific Notes

  • Care Delivery and Outpatient Clinics: Consideration given to strong background in customer service in lieu of medical office or related experience.
  • Ketchikan Medical Center: Management of ED incoming phone calls, monitoring OB Prosec/McKinley alarm system, assisting with Cardiac Rehab departmental charge entry.
  • Southeast Alaska - PHMG: Collaboration with healthcare teams to obtain VA/Tricare or State of Alaska Medicaid authorizations for medical care and travel, including air or ground transportation and lodging/meals for patients and their escorts.
  • Maintaining VA and/or State of Alaska logs, accurately tracking authorization status and voucher usage for stock replenishment.

  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.
  • Predominantly works in an office environment.
  • Communicates and exchanges accurate information through close visual acuity.

  Benefits

  • Full medical/dental/vision coverage.
  • 403b retirement plan with 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.