Patient Access Representative - Pediatrics

Job Description

Description

PeaceHealth is seeking a Patient Access Representative - Pediatrics for a Part Time, 0.80 FTE, Evening position. Hourly compensation is $18.49 – $31.11; hiring rate dependent on qualifications, professional experience, and/or work location.

***Hiring Bonus may be available!***

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.

ESSENTIAL FUNCTIONS

1. Pre-registers/registers patients with accurate patient demographic, financial data. May register patients using varying methods depending upon location, which may include mobile cart.
2. Collects patient balances, co-payment, co-insurance, or other payment types.
3. 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.
4. Responds to customer’s inquiries.
5. Assists with departmental coverage as needed.
6. Manages daily appointment schedules which may include reminder calls and calling all referrals.
7. May transport patients utilizing escort or wheeled transport equipment.
8. Performs other duties as assigned.

QUALIFICATIONS

EDUCATION:

• High School diploma or equivalent preferred.

EXPERIENCE/TRAINING:

• One year of medical office or related customer service experience required.
• Demonstrated knowledge of Medical Terminology and CPT/ICD-10 coding preferred.
• Knowledge of insurance process and regulations preferred.

OTHER SKILLS:

• Experience with Microsoft Office applications, including Word, Excel and Outlook preferred.
• Must be able to manage conflict effectively and professionally.
• Excellent time management skills, with an emphasis on meeting time sensitive deadlines.
• Good customer service skills and good interpersonal skills.

COMMUNITY/LOCATION SPECIFIC NOTES

Oregon West Network - SHMC Outpatient Therapies:

• Chart management which includes: chart creation with all necessary forms; chart note copying for specific insurers; and discharging charts.

PHMG and Outpatient Clinics:

• Strong background in customer service may be considered in lieu of medical office or related experience.

PHMG PHYSICAL/COGNITIVE REQUIREMENTS

• Work requires normal amounts of physical effort up to 33% of the time
• Ability to lift objects weighing 50 lbs. or less.
• Work is performed under normal working conditions with adequate lighting and ventilation.
• Duties require the ability to concentrate and pay close attention to detail (more than 65% of work time)

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.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.

Must be fully vaccinated or exempted for COVID-19 including 2 doses of a 2-dose series or 1 dose of a 1-dose series plus 14 days beyond the final dose prior to start date. PeaceHealth has a medical and religious exemption request process for those that are unable to receive the COVID-19 primary vaccine series due medical/religious reasons.