Patient Access Rep

Overview

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Responsibilities

Franciscan Medical Group, as part of Virginia Mason Franciscan Health, is currently looking for afull-time Patient Access Rep for the fast-paced Franciscan Women's Health Clinic in Des Moines,WA. Supportive team with excellent growth opportunities. Free parking and no nights, weekendsor organizationally recognized holidays required.

Job Summary:This job is responsible for performing a variety of general administrative support duties associated withthe patient intake process for the Franciscan Medical Group (FMG) outpatient clinics in accordance withestablished internal guidelines and procedures. Incumbents typically interact with patients directly at thefront 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 andfinancial data in the patient’s medical record; 3) gathering/validating insurance information using routinemethods, 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 ancillarytesting and/or surgical procedures; and 6) working with patients to ensure the patient’s referral needs arefulfilled and determining insurance benefit coverage for hardware related items such as retail contactlenses by working directly with patients’ insurance carriers, ever needed.Work requires critical thinking, hearing the needs of the patient meeting those needs by offering multipleoptions and solutions, knowledge of insurance authorization/billing requirements andprivacy/confidentiality practices, as well as knowledge of medical terminology and the patient intakeprocess. An incumbent following proper channels of communication in handling daily and routineproblems and recognizing issues that need referral to management. Strong customer service skills arerequired 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 atthe 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.

Qualifications

Education/Work Experience:                                ● One year of customer service work experience is required, two years preferred. Healthcare orCall Center experience preferred.