Patient Access Representative - Pediatrics

PeaceHealth • Springfield, OR

21h

About The Position

PeaceHealth is seeking a Patient Access Representative for its Pediatrics department. This is a part-time, 0.80 FTE day position. The role helps coordinate scheduling, insurance verification, and pre-certification activities, and serves as a clinical liaison with physician practices in connection with pre-visit services.

The representative pre-registers and registers patients, collects payments, verifies insurance coverage and requirements, and obtains prior authorizations or referrals as appropriate before patient arrival. The role also responds to customer inquiries, supports departmental coverage, and manages appointment schedules, which may include reminder calls and contacting referrals. Depending on location, registration may use varying methods, including a mobile cart. The representative may also transport patients using escort or wheeled transport equipment and performs other duties as assigned.

The role is predominantly office-based and sedentary, with regular computer and office-equipment use. PeaceHealth offers a comprehensive total rewards package that includes medical, dental, and vision coverage; retirement contributions; paid time off; insurance; tuition and continuing education reimbursement; wellness benefits; and employee assistance and mental health programs.

Requirements

• High school diploma or equivalent.
• At least 1 year of medical office or related customer service experience; strong customer service background may be considered in lieu of this experience for Care Delivery and Outpatient Clinics.
• Ability to manage conflict effectively and professionally.
• Excellent time management skills, with emphasis on meeting time-sensitive deadlines.
• Good customer service and interpersonal skills.

Nice To Haves

• Experience with Microsoft Office applications, including Word, Excel, and Outlook.
• Knowledge of medical terminology and CPT/ICD-10 coding.
• Knowledge of insurance processes and regulations.

Responsibilities

• Coordinate activities between scheduling, insurance verification, and pre-certification.
• Act as a clinical liaison with physician practices interacting with pre-visit services.
• Pre-register and register patients with accurate demographic and financial data.
• Collect patient balances, co-payments, co-insurance, and other payments.
• Verify coverage and ensure insurance requirements are met; obtain prior authorizations and referrals as appropriate before patient arrival.
• Respond to customer inquiries.
• Assist with departmental coverage as needed.
• Manage daily appointment schedules, which may include reminder calls and calling referrals.
• May transport patients using escort or wheeled transport equipment.
• Perform other duties as assigned.

Benefits

• Full medical, dental, and vision coverage.
• 403(b) retirement plan with employer base and matching contributions.
• Paid time off.
• Employer-paid life and disability insurance, with additional buy-up coverage options.
• Tuition and continuing education reimbursement.
• Wellness benefits.
• Expanded employee assistance program and mental health program.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: High school or GED