Patient Access Representative Lead - Family Practice

Job Description

Description

PeaceHealth is seeking a Patient Access Representative Lead in the Family Practice clinic for a Full Time, Day position.  Hourly compensation starts at $21.98, more depending on experience.

JOB SUMMARY

Assists in coordinating some or all of the following activities: scheduling; insurance verification and pre-certification; billing concerns; and co-pay collections. Acts as a clinical liaison with physician practices interacting with pre-visit services.

Responsible for coordinating the day-to-day functions for assigned area. Assists with ensuring that departmental goals are achieved, timelines met and service excellence provided in all aspects of work. Subject matter expert.

ESSENTIAL FUNCTIONS

1. Assigns work; plans and manages priorities; provides technical assistance; oversees staff schedules; monitors quality of work; monitors team projects; mentors staff; provides constructive feedback; oversees staff training; ensures quality improvement; ensures compliance with policies; provides leadership feedback on staff performance, and assists with goal setting for the team.
2. Pre-registers patients with accurate patient demographic and financial data.
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. Stays current with insurance requirements.
5. Serves as a resource for questions including compliance and complaints, and trouble-shooting patient billing and staff issues.
6. Assists with departmental coverage as needed.
7. Performs the job functions of Surgery Scheduler as part of the PAR Lead role
8. Performs other duties as assigned.

QUALIFICATIONS

EDUCATION:

• High School diploma or equivalent preferred.

EXPERIENCE/TRAINING:

• One year of Patient Access Rep experience required. Strong background in customer service and/or in a lead role may be considered in lieu of Patient Access Rep experience.
• Previous leadership experience preferred.
• Demonstrated knowledge of Medical Terminology and CPT/ICD coding required.
• Knowledge of insurance process and regulations required.

OTHER SKILLS:

• Proficient in using 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.

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).

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.