Patient Access Rep

Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently looking for a full-time Patient Access Rep for the fast-paced Franciscan Medical Clinic in Poulsbo, WA. Fast paced clinic with an environment of collaboration and teamwork. Free parking and no nights, weekends or organizationally recognized holidays required.

Job Summary:

This job is responsible for performing 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.

An incumbent is generally located either behind-the-scenes, interacting with patients on the phone or at the front desk, interacting with patients directly.

Essential Duties:

• Registers and/or checks patients in/out.
• Handles and reconciles payments.
• Continually monitor and reconcile 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/education activities.

Education/Work Experience:

• One year of customer service work experience is required, two years preferred. Healthcare or Call Center experience preferred.