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Patient Access Rep II

CHI Franciscan Medical Group

This is a Contract position in Newark, DE posted August 30, 2021.

Overview: In 2020, united in a fierce commitment to deliver the highest quality care and exceptional patient experience, Virginia Mason and CHI Franciscan Health came together as natural partners to build a new health system centered around the patient: Virginia Mason Franciscan Health.

Our combined system builds upon the scale and expertise of our nearly 300 sites of care, including 11 hospitals and nearly 5,000 physicians and providers.

Together, we are empowered to make an even greater impact on the health and well-being of our communities.CHI Franciscan and Virginia Mason are now united to build the future of patient-centered care across the Pacific Northwest.

That means a seamlessly connected system offering quality care close to home.

From basic health needs to the most complex, highly specialized care, our patients can count on us to meet their needs with convenient access to the regions most prestigious experts and innovative treatments and technologies.As a part of our organization, we currently offer the following benefits:Competitive starting wages (DOE) and training to grow within the companyPaid Time Off (PTO)Health/Dental/Vision InsuranceFlexible health spending accounts (FSA)Matching 401(k) and 457(b) Retirement ProgramsTuition Assistance for career growth and developmentCareWork premium account for additional support with children, pets, dependent adults, and household needsEmployee Assistance Program (EAP) for you and your familyVoluntary Protection: Group Accident, Critical Illness, and Identify TheftAdoption AssistanceWellness Program Responsibilities: Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently looking for a motivated Patient Access Rep II to joing our patient-centered Franciscan Dermatology and Cardiology Clinic in Sequim.

This individual will support a fast-paced, skilled team.

No weekends or organizationally recognized holidays required.Job Summary: 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 patients 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 patients 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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