Patient Support Rep

CommonSpirit Health • Burien, WA

2d • Onsite

About The Position

Virginia Mason Franciscan Health (VMFH) has a rich history of providing exceptional healthcare since 1891, expanding its reach and services across the Puget Sound area. The organization is committed to healing the whole person and offers a full spectrum of healthcare services through a comprehensive network of 10 hospitals and nearly 300 care sites. The Patient Support Rep is responsible for performing a variety of general administrative support duties associated with the patient intake process at an assigned VMFH facility. This role involves direct interaction with patients at the front desk and/or on the phone. Key duties include checking patients in/out, collecting and entering demographic and financial data, validating insurance information, scheduling appointments, collecting co-pays, co-insurance, and prior balances, and obtaining/processing referrals, authorizations, and pre-certifications for ancillary testing and/or surgical procedures. The incumbent will also work with patients to fulfill referral needs and determine insurance benefit coverage for hardware items like retail contact lenses. The position requires critical thinking, strong customer service skills, knowledge of insurance authorization/billing requirements, privacy/confidentiality practices, and medical terminology. The role also involves following proper communication channels for routine problems and escalating issues to management when necessary.

Requirements

• Ability to follow instructions, analyze data, coordinate tasks and manage work load appropriately to meet business goals
• Establish and maintain effective communication while adhering to expectations of professionalism and camaraderie with co-workers, peers, supervisors and all persons with whom this role must interact in furtherance of completing all job duties
• One year of customer service work experience required
• Healthcare-related experience required

Nice To Haves

• Two years of customer service work experience preferred

Responsibilities

• Ensuring patient is checked in/out for care
• Collecting and entering demographic and financial data in the patient's medical record
• Gathering/validating insurance information using routine methods, scheduling patient appointments
• Collecting co-pays, co-insurance and prior balances
• Obtaining and processing of referrals, authorizations and pre-certifications for patients requiring ancillary testing and/or surgical procedures
• 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
• Following proper channels of communication in handling daily and routine problems and recognizing issues that need referral to management

What This Job Offers

• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees