Patient Access Representative - Clinical Support

PeaceHealth • Springfield, OR

3d

About The Position

PeaceHealth is seeking a Patient Access Representative - Clinical Support for a full-time, 1.00 FTE, day position. The role assists in coordinating scheduling, insurance verification, and pre-certification activities, and serves as a clinical liaison with physician practices, interacting with pre-visit services.

The representative supports patient registration and financial processes, verifies insurance coverage and requirements, obtains prior authorizations or referrals, responds to customer inquiries, and helps manage appointment schedules. The position may involve assisting with departmental coverage and transporting patients. Work is predominantly in an office environment and involves routine computer and office-equipment use.

Requirements

• High school diploma or equivalent.
• At least one year of medical office or related customer service experience; strong customer service experience may be considered in lieu of this experience in Care Delivery Area and Outpatient Clinics.
• Ability to manage conflict effectively and professionally.
• Excellent time-management skills, with an 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.
• Demonstrated knowledge of medical terminology and CPT/ICD-10 coding.
• Knowledge of insurance processes and regulations.

Responsibilities

• Pre-register and register patients, ensuring accurate demographic and financial information.
• Register patients using methods that may vary by location, including a mobile cart.
• 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, including reminder calls and calling referrals as applicable.
• Transport patients using an escort or wheeled transport equipment when needed.
• 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 EAP and mental health program.

What This Job Offers

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