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Patient Access Representative - Appointing Center Job
Group health | Seattle, Washington
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Job Description

Patient Access Representative - Appointing Center-151748


What does it mean to work at Group Health?

At Group Health, our mission is to enrich people's lives by improving health. As a Group Health employee, your role is to deliver on that mission every day by living our values-Customer Focus, Accountability, Innovation, Excellence, and Integrity.

You take initiative, set goals, and solve problems while collaborating with friends and colleagues. Together we make a meaningful impact on our community.

In return, Group Health is committed to providing you competitive pay, excellent benefits, and an opportunity to make a difference each day as we strive to reach our vision to be the preferred health care partner by excelling in quality, service, and affordability.

Perform general patient access and registration duties in EPIC Practice Management, such as, answer telephones, make appointments, process referrals, maintain provider templates and appointment schedules, verify patient demographics and insurance coverage. Perform general patient account management duties, such as, obtain prior authorization for services, process items in the appropriate work queues to complete registration and enter service capture data. Ensure patient accounts and coverage structures meet Group Health standards and billing requirements of various payors. Function as liaison to Patient Financial Services and the Health Plan. Communicate with external government payors and employers, as necessary. Work directly with patients on billing related matters and provide fee estimates to patients for Group Health services. May perform duties related to cash collection and depositing. Demonstrate strong customer service and communication skills. Adhere to HIPAA and patient confidentiality requirements. May act as the patients' first point of contact with Group Health.


Minimum Education Requirements
High School Diploma/GED

Preferred Education
Vocational School/Certificate Prog Vocational training in medical office procedures and billing. Coursework or practical training and experience in ICD-9 and CPT coding.

Minimum Knowledge/Skills Requirements
Basic or limited Basic PC skills in MS Windows environment, 10-key and typing (35 WPM). Customer service skills, the ability to effectively communicate with a diverse customer base, and strong organizational skills.

Preferred Knowledge/Skills
Basic or limited Familiar with medical terminology. Knowledge of delivery system business operations processes, including appointing, account intake and verification, cashiering, financial interviewing, referral processing and data entry. Working knowledge of healthcare insurance practices and billing. Knowledge of health care payer/insurer types, including state and federal workers compensation, commercial, subrogation, self-insured, Medicare (CMS) and Medicaid (DSHS). Understanding of Group Health Cooperative insurance products and benefits. Proven ability to establish credibility and respect with patients. Proven ability to problem solve and take initiative. Ability to provide feedback and education to other staff regarding correct procedures.

Minimum Experience Requirements
None Required
None Required
1 year Experience in a business office of a medical group practice, hospital, insurance company or a large contact center; experience in electronic patient accounting, scheduling or customer information systems. OR
2 years (In lieu of 1 yr required above): experience providing excellent customer service in a fast-paced environment

Preferred Experience
< 1="" year="" six="" (6)="" months="" experience="" in="" processing="" various="" types="" of="" billing,="" including="" workers="" compensation,="" subrogation,="" coordination="" of="" benefits,="" and="">
< 1="" year="" successful="" candidates="" will="" demonstrate="" a="" high="" degree="" of="" adaptability,="" productivity,="" and="" reliability="" as="" well="" as="" an="" ability="" to="" work="" independently="" in="" an="" ambiguous="" environment.="" they="" will="" have="" effective="" interpersonal,="" communication,="" and="" customer="" service="" skills="" for="" both="" face-to-face="" and="" telephone="" interactions="" with="" patients,="" medical="" staff,="" and="" team="" members.="" candidates="" will="" be="" positive,="" open-minded,="" and="" focused="" on="" continuous="" improvement.="" they="" must="" be="" able="" to="" learn="" new="" processes,="" procedures,="" and="" software="" programs="" quickly,="" while="" demonstrating="" attention="" to="" detail="" and="" accuracy="" in="" their="" daily="">
3 years Additional experience in a patient care setting. Experience with IDX (Phamis) LastWord patient accounting system. Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems. Understanding of Group Health Cooperative billing protocols and cash posting systems.
3 years Additional experience in a patient care setting. Experience with IDX (Phamis) LastWord patient accounting system. Use of Epic Cadence/Prelude/Resolute or other patient scheduling and accounting systems. Understanding of Group Health Cooperative billing protocols and cash posting systems.

Minimum License/Certifications Requirements
None Required

Preferred License/Certifications
None Required

Group Health is an Equal Opportunity Employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, marital status, age, sexual orientation, gender identity or expression, or any other legally protected status.

Job: Customer Service

Organization: General Administration

Primary Location: WA - Seattle-Tukwila-Administrative North Building

Bargaining unit: OPEIU West

FTE: 0.75

Schedule: Part-time

Shift: Day Job

Days of shift: M-F

Hours of shift: 7:45-5:15 variable

Travel: No

Job level: Individual Contributor

Job type: Standard

Employee status: Regular

J2W code: ADM1N

About Group health

GHI is a statewide not-for-profit health insurer serving New Yorkers since 1937. GHI and its wholly-owned subsidiary, GHI HMO, provide health insurance and administrative services to more than 2.6 million people. GHI offers customers a variety of PPO, EPO, HMO, and prescription drug plans. Throughout its history GHI has pioneered many of the programs that are now standard in the health insurance field.

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