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EvergreenHealth

Patient Services Rep - Women's Care (1.0 FTE, Days)

EvergreenHealth, Kirkland, Washington, United States, 98034

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Wage Range: $22.14 - $35.43 per hour

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary: As the primary point of contact for patients in a clinical environment, you’ll play a crucial role in ensuring seamless communication and top-notch care. Responsibilities include pre-registration/scheduling, registration/check in, message and queue management, medical records request management, referral management, and billing/payment processing/charge reconciliation.

Primary Duties:

Coordinates all aspects of patient scheduling to include creating initial and follow up in-person or virtual visit appointments; rescheduling, cancelling and managing self-scheduled appointments in a fashion that meets patient care needs and optimizes provider schedules.

Manages multi-line telephone system (incoming and outgoing). Follows guidelines to identify and direct patients calling with emergent/urgent symptoms to appropriate clinical staff for screening.

Sets up and verifies active and contracted insurance coverage in multiple systems and/or educates patients on co-insurance/co-pay, self-pay, L&I, MVA, Medicaid, Medicare/Medicare Advantage, etc.

Enrolls patient on patient portal and explains its attributes, benefits and recommended use.

Requests, confirms and validates interpreter services.

Greets patients and completes check-in process. Directs and assists patients with completion of appropriate paperwork.

Monitors various group Message Pools and responds to patient requests, questions and concerns within established organizational timelines.

Takes complete and accurate messages and coordinate communication between appropriate interdisciplinary staff. Coordinates emergent or add-on patient care requests with clinical team and provider.

Manages appointment queues (Ex. future appointment orders; cancellation list; wait list).

Prepares, documents and sends various patient outreach communications.

Initiates outside medical record requests by requesting materials from admissions and emergency departments, physicians and other authorized hospital staff to support provider visits and closure of care gaps for Health Maintenance. Prepares and scans documents for Health Information Management department processing.

Manages incoming referrals through clinic documentation and established tracking protocol. Facilitates communication between the clinic, patient and insurance company, as required.

Identifies and collects copayments in adherence with organizational goals.

Cultivates EvergreenHealth culture of community by supporting new staff training.

Monitors and maintains tidy patient waiting and staff work areas in accordance with infection control standards and safety protocols.

Orders and restocks patient forms and non-medical supplies.

Files, faxes, scans, photocopies and distributes mail.

Performs open and close duties, which vary from clinic to clinic.

Performs other duties as assigned.

License, Certification, Education or Experience: REQUIRED

High School diploma or equivalent

1 year of experience in a customer service role

Excellent interpersonal communication skills, including the capacity to communicate with a diverse range of individuals and dispositions

Ability to problem solve, stay calm under pressure and present oneself in a pleasant and professional manner when responding to inquiries from EH staff and patients (Ex. service recovery)

Strong written communication skills, including ability to spell accurately and write legibly

Ability to work independently, show initiative and work productively within a team environment

Actively listen to and validate patient conversations. Employ de-escalating techniques as appropriate

Ability to prioritize multiple tasks and ability to access, analyze and apply concepts associated with protocols, policy and guidelines

Keyboarding skills and working knowledge of Windows based software systems

DESIRED

Previous experience in a medical reception or similar administrative role

Knowledge of basic medical terminology/common medications

Knowledge and experience accessing/verifying insurance coverage. Experience using Real Time Eligibility (RTE) Payer/Insurance Portals

Electronic Medical Record (EMR) experience, preferably Epic

Familiarity with HIPAA and other health industry compliance standards

Benefit Information: Choices that care for you and your family

Medical, vision and dental insurance

On-demand virtual health care

Health Savings Account

Flexible Spending Account

Life and disability insurance

Retirement plans 457(b) and 401(a) with employer contribution)

Tuition assistance for undergraduate and graduate degrees

Federal Public Service Loan Forgiveness program

Paid Time Off/Vacation

Extended Illness Bank/Sick Leave

Paid holidays

Voluntary hospital indemnity insurance

Voluntary identity theft protection

Voluntary legal insurance

Pay in lieu of benefits premium program

Free parking

Commuter benefits

Cafeteria & Gift Shop Discount

EvergreenHealth Benefits Guide

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