Catholic Health Initiatives Patient Access Rep II - Family and Internal Medicine in PORT ORCHARD, Washington
Patient Access Rep II - Family and Internal Medicine
CHI Franciscan Health has exciting and rewarding careers with competitive salaries and benefits. We are a family of hospitals, health care services, and medical providers delivering compassionate care to people throughout the South Puget Sound. We are part of Catholic Health Initiatives, one of the largest not-for-profit health care systems in the country.
Our mission is to deliver high quality care that meets our patients' medical needs while providing emotional and spiritual support to patients and their families. We believe this three-part approach — physical, emotional, and spiritual — is essential to healing the whole person. Come join our team!
Performs a variety of general administrative support duties associated with the patient intake process for the Franciscan Medical Group (FMG) outpatient clinics in accordance with established internal guidelines and procedures. Incumbents typically interact with patients directly at the front desk and/or on the phone to perform follow-up activities.
Work includes: 1) ensuring patient is checked in/out for care, 2) collecting and entering demographic and financial data in the patient’s medical record, 3) gathering/validating insurance information using routine methods, scheduling patient appointments, 4) collecting co-pays, co-insurance and prior balances, 5) obtaining and processing of referrals, authorizations and pre-certifications for patients requiring ancillary testing and/or surgical procedures, and 6) working with patients to ensure the patient’s referral needs are fulfilled and determining insurance benefit coverage for hardware related items such as retail contact lenses by working directly with patients’ insurance carriers, ever needed.
Work requires critical thinking, hearing the needs of the patient meeting those needs by offering multiple options and solutions, knowledge of insurance authorization/billing requirements and privacy/confidentiality practices, as well as knowledge of medical terminology and the patient intake process. An incumbent following proper channels of communication in handling daily and routine problems and recognizing issues that need referral to management. Strong customer service skills are required offering the highest level of service to every patient every time.
This job exists in multiple locations, and while there may be minor differences in job content, they are not significant for classification purposes. Overall, the nature of the work and job requirements is consistent between locations.
An incumbent is located either behind-the-scenes, interacting with patients on the phone or at the front desk, interacting with patients directly. The incumbent may also be located in a Call Center environment interacting with patients on the phone.
Registers and/or checks patients in/out.
Handles and reconciles payments.
Continually monitors and reconciles issues prior to patient visit.
Processes referral orders and/or pre-authorizations.
Coordinates appointments and ancillary services.
Responds to patient questions regarding routine billing and insurance matters.
Coordinates patient instructional/educational activities.
Adheres to and exhibits our Core Values of Reverence, Integrity, Compassion and Excellence.
One year of customer service work experience is required, two years preferred.
Healthcare or Call Center experience preferred.
Job Administrative and Clerical
Primary Location WASHINGTON-PORT ORCHARD-FMG-PORT ORCHARD CLINIC
Daily Schedule Variable Day Shift
Scheduled Hours per 2-week Pay Period 80
Weekends Required None
Req ID: 2017-R0118035