Patient Access Representative Lead - PFS Admitting PIMC

PeaceHealth – Friday Harbor, WA

PeaceHealth is seeking a Patient Access Representative Lead - PFS Admitting PIMC for a 1.0 full time equivalent Non-Exempt position. This position will be working Variable shift with shift durations of Variable.

Req ID: 172315


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 other duties as assigned.


QUALIFICATIONS

EDUCATION:

  • High School diploma or equivalent preferred.

  • EXPERIENCE/TRAINING:

  • Minimum of one year of Patient Access Rep experience required.
  • 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.

  • PEACE ISLAND MEDICAL CENTER PHYSICAL/COGNITITVE 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).

  • Please apply online to be considered. For full consideration of your skills and abilities, please attach a current resume with your application.


    About PeaceHealth


    PeaceHealth, based in Vancouver, Wash., is a not-for-profit Catholic health system offering care to communities in Washington, Oregon, and Alaska. PeaceHealth has approximately 16,000 caregivers, a multi-specialty medical group practice with more than 900 providers and 10 medical centers serving both urban and rural communities throughout the Northwest. In 1890, the Sisters of St. Joseph of Peace founded what has become PeaceHealth. Today, PeaceHealth is the legacy of its founding Sisters and continues with a spirit of respect, stewardship, collaboration and social justice in fulfilling its Mission.


    We offer competitive compensation, a robust benefits package and a collaborative, Mission-driven work environment! To learn more about working at PeaceHealth and the Friday Harbor community please visit our homepage: www.peacehealth.org/careers.


    Get a feeling for the Spirit of PeaceHealth through this three-minute video, and visit us on Facebook or LinkedIn!


    Questions? Review our Employment FAQ or email Recruitment@peacehealth.org. Please note this email does not accept resumes or applications.


    Location: Friday Harbor, Peace Island Medical Center (221)
    Job Category: Allied, Ancillary & Clinical Support
    Shift: Variable
    Shift Length: Variable
    FTE: 1.0
    Work Type: Full Time
    Hourly compensation starts at: $18.62, more depending on experience
    Required Certifications/Licensure:


    PeaceHealth is committed to providing equal employment opportunities to all qualified job applicants and employees without regard to the following statuses: protected veteran; qualified individual with a disability; race; ethnicity; religion; gender; pregnancy; gender identity; national origin; age; genetic information; sexual orientation; or any other protected status in accordance with local, state, or federal laws.


    The above information is intended to indicate the general nature and level of work performed by this position. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of caregivers assigned to this job.


    Posting Notes: Friday Harbor || Allied, Ancillary & Clinical Support || Other - Allied || Full Time || PATIENT ACCOUNTING

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