Patient Access Representative - Rehab Therapy

Job Summary

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

Details of the Position

• Pre-registers/registers patients with accurate patient demographic, financial data.
• 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.
• Affords assistance 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.

What You Bring

• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding (preferred).
• Knowledge of insurance process and regulations (preferred).
• Ability 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 and Outpatient Clinics: Strong background in customer service may be considered in lieu of medical office or related experience.
• Ketchikan Medical Center: Management of ED incoming phone calls and may be required to provide switchboard coverage. Monitoring OB Prosec/McKinley alarm system. May be required to assist with Cardiac Rehab departmental charge entry.
• Southeast Alaska: May work with healthcare team to obtain VA/Tricare or State of Alaska Medicaid Authorization for medical care and/or travel, including air or ground transportation and lodging/meals for patients and their escorts (if applicable), who are referred by PeaceHealth to medical facilities in and outside of the State of Alaska. When necessary, effectively communicates with care team, VA/Tricare, or State of Alaska Medicaid travel on behalf of patient and referring provider. Maintains VA and/or State of Alaska log; accurately tracking authorization status and voucher usage for stocking adequate supply.

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.

Benefits

• 403b retirement plan for caregiver contributions.
• Wellness benefits.
• Discount program.
• Expanded EAP and mental health program.

Additional Information

For full consideration of your skills and abilities, please attach a current resume with your application.

EEO Statement

PeaceHealth is committed to the overall wellbeing of our caregivers. The benefits included in positions less than 0.5 FTE are 403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program. See how PeaceHealth is committed to [link to statement].