Patient Access Rep II - Primary/Prompt Care

Catholic Health Initiative Bonney Lake , WA 98391

Posted 2 months ago

Overview

CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community.

Responsibilities

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.

Essential Duties:

  • 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.

Qualifications

Job Requirements:

  • One year of customer service work experience is required, two years preferred.

  • Healthcare or Call Center experience preferred.

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Patient Access Rep II - Primary/Prompt Care

Catholic Health Initiative