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Patient access representative jobs in Hillsboro, OR

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  • Bill Review Specialist

    Wellrithms, Inc.

    Patient access representative job in Portland, OR

    Our Ideal Candidate At WellRithms, we're redefining medical reimbursement-and we need sharp, motivated professionals to help us lead the way. As a Bill Review Specialist, you'll play a critical role in ensuring fair and accurate medical billing. You'll apply WellRithms' proprietary reimbursement methodology to review and process medical bills with precision. This is more than just a job-it's an opportunity to deepen your expertise in medical billing and CPT coding while contributing to a mission-driven organization that values integrity and innovation. This role reports to the Bill Review Supervisor. Responsibilities Analyze and evaluate medical bills to ensure accurate application of WellRithms' reimbursement methodology within required timelines. Conduct detailed reviews of medical bills, supporting records, and itemized charges to determine fair and reasonable reimbursement. Verify and validate CPT, HCPCS, and other medical billing codes, ensuring correct usage and alignment with industry standards. Identify and correct billing discrepancies, collaborating with internal teams and leveraging established workflows to complete timely, high-quality reviews. Communicate directly with medical providers to request clarification, additional documentation, or corrections needed for accurate bill processing. Consistently meet daily productivity and quality assurance targets, maintaining accuracy in a fast-paced, time-sensitive environment. Support departmental needs by performing additional duties as assigned, contributing to continuous workflow improvement and operational efficiency. Qualifications High School diploma is required; some college is preferred. 2-3 years of experience in healthcare or a related field is preferred. Knowledge of CPT coding and medical terminology. Familiarity with HCFA1500 and UB-04 billing forms. Excellent written and oral communication skills. Ability to meet deadlines in a time-sensitive environment. High comfort level with computers and software programs (MS Word, Excel, Outlook). CPC (Certified Professional Coding) education or certification is preferred.
    $34k-44k yearly est. 1d ago
  • Scheduling Specialist

    Radiology Partners 4.3company rating

    Patient access representative job in Portland, OR

    RAYUS now offers DailyPay! Work today, get paid today! is $18.28-$24.78 based on direct and relevant experience. RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 40 hours per week; shifts are Monday through Friday, 9:30am - 6:00pm. Rotating Saturdays 9:00am - 1:00pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and staff Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only) (10%) Insurance Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as assigned
    $33k-38k yearly est. 15h ago
  • Patient Access Representative

    Legacy Health System 4.6company rating

    Patient access representative job in Gresham, OR

    You are the first face patients see-and the one who sets the tone for a warm, positive, and professional experience. In many ways, you are the face of Legacy. As we work to fulfill our mission of making life better for others, we rely on caring, capable individuals to support patients throughout their healthcare journey. As a Patient Access Representative Lead, you'll use your strong communication and interpersonal skills to gather insurance and demographic information, help patients and families understand financial responsibilities, collect co-payments, and secure legal documentation required for state and federal compliance. Your attention to detail in creating accurate medical and financial records will support not only patients, but also the medical professionals who care for them. Responsibilities The Patient Access Representative serves as the primary non-clinical contact for all hospital-based patient visits. Responsibilities include: * Greeting, registering, checking in, and admitting patients according to scope and service line. * Collecting patient demographics, identifying medical providers involved in care, and documenting medical decision-makers. * Verifying insurance coverage and benefits, and determining patient financial responsibilities. * Assisting patients and families in understanding active insurance coverage and providing guidance on accessing financial and insurance resources. * Offering self-pay information and applicable discounts. * Collecting copayments, coinsurances, deposits, and payments as appropriate. * Collaborating with Revenue Cycle departments and hospital units to ensure accurate medical and financial records. * Collecting and submitting required legal documentation to meet State and Federal compliance regulations. Qualifications Education: * High School diploma or equivalent required. * Two years college education including satisfactory completion of college level Health Records coursework preferred. Experience: * A minimum of one year of healthcare experience or equivalent education in at least one of the following areas required: Patient Access, Medical Records/Health Information or applicable clerical support experience. * Six months customer service experience required. * Previous registrar and third-party payor experience preferred. * An understanding of health plan and benefit structures preferred. Skills: * Effective written and verbal communication skills. * Critical thinking and problem-solving skills required. * Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines. * Demonstrated effective interpersonal skills which promote cooperation and teamwork. * Ability to withstand varying job pressures and organize/prioritize related job tasks. * Ability to perform multiple tasks at the same time. * Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner. * Ability to deal with people in emergent and/or stressful situations. * Ability to identify alternative means of communication as needed. * Ability to adapt to change. * Keyboard skills and ability to navigate electronic systems applicable to job functions. * Ability to maneuver through several applications including electronic medical records, Microsoft Office applications, different software, website, and databases. * Demonstrated understanding of complex collection issues. * Demonstrated knowledge of multi-payor systems, and understanding and applying e-coverage results preferred. * Demonstrated knowledge of billing/collection, past balances, deposits and knowing State and Federal rules and regulations preferred. * Ability to understand and adhere to EMTALA (Emergency Medical Treatment and Labor Act) guidelines. * Able to communicate patient financial communication, offer financial aid services, educating patients on eligibility and in and out of network status. * Ability to enroll patients into Presumptive Medicaid services - which entails a detailed questionnaire with the patient to determine eligibility * Knowledge of medical terminology. Pay Range USD $22.10 - USD $30.94 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************
    $22.1-30.9 hourly Auto-Apply 27d ago
  • Patient Access Services Specialist

    Cap 4.2company rating

    Patient access representative job in Portland, OR

    Prism Health is the only nonprofit LGBTQIA+ health center providing comprehensive primary care, behavioral healthcare, and pharmacy services in the Pacific Northwest (Oregon, Washington, and Idaho). Since opening its doors in 2017, Prism Health has become a model for culturally specific care and now serves over 1,500 patients with a wide range of services, from day-to-day primary care and pharmacy needs to targeted services like gender-affirming care and specialized population health screenings. Prism Health, Our House, Tod's Corner and Esthers Pantry are all apart of CAP. To learn more about us please visit CAP, Prism Health and Our House. Prism Health a program apart of Cascade AIDS Project is excited to announce that we are hiring skilled and team-oriented Patient Access Services Specialist. The Patient Access Services Specialist at Prism Health is often the first face that patients see when they arrive. As such, the Patient Access Services Specialist is charged with being a "face" of Prism Health and representing the health center in a positive and affirming manner, providing high quality customer service both in person and over the phone. Under the direction of the Front Office Supervisor the Patient Access Services Specialist performs a variety of tasks at Prism Health. This is a Full-Time role working at our Belmont location in SE Portland. Must be flexible to work at out Prism Morris location in N Portland as necessary. The schedule for this role is Monday- Friday 8:30am-5:00pm OR 7:30am - 4:00pm Starting pay is $22.39 an hour which is equivalent to just over $45,571 a year. The Patient Access Services Specialist Pay increases with tenure and the top of the pay scale is $25.48 an hour. This is a union represented position, so the compensation, benefits and conditions of work are collectively bargained. Who You Are * Six months of work experience in a medical office setting, including high volume direct patient contact OR * One year of work experience in a high volume direct public contact position. * Experience with EPIC or a similar EHR * Basic computer keyboarding skills including typing of 30 - 45 WPM * Customer service skills, both over the phone and face to face * Detail oriented, highly accurate, and able to multi-task * Problem solving skills to difficult customer service situations * Patient advocacy skills What You'll Do * Providing excellent patient service via phone and in person. * Scheduling appointments for patients registering patients and verifying insurance information. * Taking patient messages, and routing them appropriately, as well as being the first point-of-contact for patients and guests when they arrive at Prism Health. * Work collaboratively with all staff in support of high-quality patient services, exhibiting flexibility and a warm, compassionate attitude. * be mindful of verbiage, names, and pronouns used when communicating with patients and guests. At Cascade AIDS Project, we believe in unlocking potential. If you believe you may have the skills to do a job, we encourage you to apply even if you don't meet every qualification. Cascade AIDS Project is an Equal Employment Opportunity Employer. We comply with all relevant anti-discrimination laws
    $45.6k yearly 9d ago
  • Patient Access Representative I (ON-CALL)

    Christian City Inc.

    Patient access representative job in Hillsboro, OR

    Patient Access Representative I (ON-CALL) Job Number: 1320825 Posting Date: Dec 4, 2024, 10:14:06 PM Description Job Summary: The Patient Access Representative I is a unique role within the Kaiser Permanente Health System environment. The Patient Access Representative I welcomes the patient into the care delivery setting and initiates the administrative systems that will lay the groundwork for the patients clinical care as well as the financial documentation. The Patient Access Representative I is responsible for ensuring a complete and accurate Patient admission/registration. Responsibilities include but are not limited to: collecting pertinent registration data, performing functions such as limited insurance eligibility and benefits verification, point of service cash collection, based on established manual or technological protocols, and completion of documentation necessary for the expedient registration/ admission of Patients according to organizational policy and procedures and federal/state/regulatory requirements. Obtaining inpatient bed assignments and processes inpatient admission, including direct admit, to include following patient identification protocols and completion of necessary documentation. Refers patients to Financial Counselors for Medical Financial Assistance. Answers and/or refers questions received from patients, visitors, staff as appropriate. Performs various related cash handling procedures per SOX control regulations. This position acts as an ambassador to ensure a patient friendly experience. The Patient Access Representative I has knowledge of state and federal regulations governing patient healthcare encounters and assures compliance. The Patient Access Representative I facilitates the patient and family care experience and aids them in understanding the Kaiser Permanente Healthcare System facilities and routines. The Patient Access Representative I works closely with both the financial team (Patient Business Services and the payor(s)) and the clinical team (nursing, physicians, hospital supervisors, etc) to ensure the optimum patient experience, accurate registration, maximum cash flow and reimbursements for the system. This position is an intermediate level position that requires a professional service-oriented individual with strong organizational skills working under limited supervision. The work environment at times can be stressful, pressured, or hostile. This position works on the front line with constant patient interaction in high volume registration areas and the Emergency Departments. Work situations are varied and require an individual with the ability to respond to patients and families with compassion, respect, and understanding. This position requires strong organization skills, prioritization, good judgment, diplomacy, and independent thinking. Internal contacts include physicians, staff and management throughout the organization, including, but not limited to, Patient Business Services, Patient Access Representative II and III, Utilization Management, Patient Flow Coordinators/HAS, and Health Information Management. External contacts include patients, families, community physicians, and outside organizations such as representatives from government agencies and allied hospitals. Independent decision-making is required in daily routine functions. Major decisions are subject to review and approval. Staff members in this position may perform all, or a combination of the duties described depending upon their assigned work area and the specific needs of the department.Essential Responsibilities: Registration: Greets and registers patients for various medical services in the hospital setting potentially in a 24 hour, 7 day a week environment and in a highly active fast paced setting such as the Emergency department. Pre-registers patients where applicable. Completes comprehensive bedside or telephone interviews with Patient, relative, or their representative to obtain pertinent demographic information, insurance data and/or third party liability information. Performs minimal eligibility verification and resolves discrepancies as able or defers to appropriate resource, identifies need for financial assistance recommendation and application, referring to the Financial Counselor where necessary. Verifies the patient demographic and insurance information with the patient consistent with CMS regulations, the National Registration Standards and regional policies. Verifies members eligibility and benefits from identified insurance plan(s) prior to or upon admission to the hospital, using computer based verification programs, as available. Uses problem-solving skills to verify patient identification through patient name, spouse names, SSN, DOB and address in order to identify and minimize duplicate medical records. Interview patient to obtain/determine appropriate insurance carrier and identifies, verifies, and inputs Other Coverage Information (OCI), primary, secondary, and tertiary payers for services provided. Performs registration function for all patient class and clinical services.Revenue Collection: Determines and collects cost-shares, and partial payments for services to be received. Enter/verify payments in the computer, close cash drawers, count currency, checks, and credit card payments at the end of each shift, and create deposits per cash handling policies. Provides patient liability information and collects the point of service cash from patients based on guidelines and/or systems provided by the department, including but not limited to: co-payments, deductibles, co-insurance, deposits, outstanding balances. Communicate to the patient the Northwests policy on payment of services or prepayment when significant patient liabilities are identified. Refers, as appropriate, to financial counselors. Interacts with Patient Business Services/Membership Services personnel regarding status of accounts as necessary to respond to questions/concerns related to registration requirements. Documents all activity pertaining to patients account in the system.Appointing: May schedule and/or cancel right type of appointment based on members needs and regional protocol. If applicable, makes return appointments.Regulatory/Organizational Compliance: Completes regulatory or policy required forms, to include payor requirements such as Medicare, L & I requirements and some commercial payors, and obtains all necessary signatures via mail, pre-admit, pre-op visit or upon admission/ registration. Makes copies of patient identification, insurance information and other related forms and documents, electronically scan capture where appropriate. Understands and adheres to the rules and regulations of Medicare, Medicaid, Managed Care and Commercial payers regarding referrals, preauthorization and pre-certification requirements. Is knowledgeable and maintains compliance with CMS by accurately completing Medicare Secondary Payer screening information to determine primary payor. Receives physician orders and, if applicable, performs medical necessity check using automated system. Interprets basic healthcare systems regulations and policies for patients and patient families consistent with the defined scope of work. Knowledge of MOAB training requirements for managing aggressive behavior. Maintains an understanding of HIPAA privacy and security regulations with respect to Patient confidentiality and regulations that govern system use for patient registration requirements. Understands and adheres to EMTALA regulations and the relevance for patient registration and patient liability collection in the Emergency Department.General Services: Stocks appropriate forms and supplies; takes out used supplies. Demonstrating responsibility in handling supplies and equipment in a cost-effective manner and according to standards such as policies, procedures, and infection control guidelines. Assist patients by providing specialty phone numbers, facility directions and office layouts; directing to other departments and administrative services for further information, for example (but not limited to) Membership Services, Dental and Pharmacy. Escorting patients to area of service. Initiates safekeeping and return of Patients valuables in accordance to hospital policy when required. Provides information assistance to Patients, visitors, and the public regarding general hospital policies and procedures. Interacts with patients physician regarding status of hospital account/registration issues and refers as needed. Provides patients demographic information/insurance plan updates to physician offices or other medical services, such as EMT services where appropriate. Responsible for maintaining records during system downtime and performs recovery processes. Maintains accurate statistical records of departmental activities as needed, for data gathering within the UBT work teams. Performs all other duties as assigned consistent with . Qualifications Basic Qualifications: Experience Minimum one (1) year of healthcare financial AND minimum one (1) year of office environment customer service OR Minimum two (2) years of post high school related education OR combination of education and experience.Per the National Agreement, current KP Coalition employees have this experience requirement waived. Education High School Diploma or General Education Development (GED) required. License, Certification, Registration Basic Life Support Medical Terminology Certification Additional Requirements: Must obtain training and Medical Terminology certificate within 180 days if existing Patient Access Employee or has proof of completed Medical Terminology course, outside applicant must have upon hire.Obtains training and becomes CPR Certification within 30 days if existing Patient Access Employee or has proof of current CPR Certification, outside applicant must have upon hire. Excellent communication skills with all types of individuals.Excellent organizational and written skills, flexibility and ability to switch tasks frequently.Ability to type minimum 35 wpm with above average accuracy.Previous experience with cash handling required.Ability to operate CRT, IBM compatible PC, Windows, such as MS Word/Excel, copier, fax, phone, and headset.Job requires continuous reading skills and the ability to handle a heavy volume of work.Working knowledge of basic medical terminology, diagnostic related groupings, diagnosis and common procedure terminology to determine benefits and estimate service cost.Knowledge of Medicaid, Medicare, and other government and insurance/payor requirements.Knowledge of basic State and Federal regulations governing healthcare encounters, such as HIPAA, State workers compensation, third party liability for accidents, EMTALA and etc.Knowledge of and skill in the use of automated Patient care systems for admissions, registration, and basic medical records functions (registration systems).Knowledge of basic state and federal regulations regarding funding resources.Knowledge of organizations and/or facility based billing systems.Knowledge of department procedures and established confidentiality policies. Knowledge of communication techniques with ability to listen actively and respond to fellow employees/customers in a timely, competent manner both verbally and non-verbally. Preferred Qualifications: Obtains training to become a Certified Healthcare Access Associate by the National Association of Healthcare Access Management within 180 days of employment preferred.Previous experience with EPIC applications preferred.Previous hospital or ambulatory clinic registration experience.Certification by HFMA or NAHAM preferred.One (1) year of higher education preferred.Primary Location: Oregon-Hillsboro-Westside Hospital Regular Scheduled Hours: 1 Shift: Variable Working Days: Mon, Tue, Wed, Thu, Fri, Sat, Sun, Variable Start Time: 12:01 AM End Time: 11:59 AM Job Schedule: Call-in/On-Call Job Type: Standard Employee Status: Regular Job Level: Entry Level Job Category: Customer Services Public Department Name: Westside Specialty MOB - Admitting - 1008 Travel: No Employee Group: W06|SEIU|Local 49 Posting Salary Low : 27.42 Posting Salary High: 33.29 Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled Share that is next to Submit.
    $33k-41k yearly est. Auto-Apply 60d+ ago
  • PT - In-Patient

    Reliant 4.0company rating

    Patient access representative job in Longview, WA

    Meda Health is looking for a Physical Therapist to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS. Competitive and Transparent Pay We value your expertise and respect your dedication - and our goal is to compensate you more than fairly for them. We don't want you to scramble to figure out your coverage, especially when you're already feeling under the weather. At Meda Health, your coverage starts when you do. You're covered, period. Our employees get the following benefits right off the bat: Health Vision Dental Life insurance
    $39k-48k yearly est. 60d+ ago
  • Front Desk Specialist

    Healthsource Chiropractic 3.9company rating

    Patient access representative job in Lake Oswego, OR

    Benefits: PTO and other great benefits Continuous clinical and business training Competitive salary Paid time off 401(k) Bonus based on performance Training & development Join Our Team as a Front Desk Receptionist in a new state-of-the-art practice! Are you passionate about delivering exceptional patient care and dedicated to promoting health and wellness? Our brand-new chiropractic office is looking for a friendly, professional, and organized Front Desk Receptionist to be the welcoming face of our practice. We believe that a positive first impression sets the tone for excellent patient experiences, and we are seeking someone who shares our commitment to nurturing a warm and supportive environment. The ideal candidate will have experience in a medical or chiropractic office and possess outstanding communication skills. You will be responsible for managing appointments, assisting patients with inquiries, and ensuring seamless office operations-all while embodying our mission of holistic health care. Be part of a team that's committed to revolutionizing wellness and transforming lives - Apply today! Why work at HealthSource of Lake Oswego? · Competitive pay - Starting at $21 per hour· PTO & Paid Holidays · World class training and continuing education· Monday through Friday schedule Qualifications Required: · High School Diploma or equivalent required, 2-year degree preferred· Excellent customer service and interpersonal skills, with a friendly and professional demeanor.· Strong organizational skills and attention to detail, with the ability to multitask and prioritize tasks effectively.· Proficiency in computer skills, including knowledge of Microsoft Office applications and appointment scheduling software.· Ability to maintain confidentiality of patient information and adhere to HIPAA regulations.· Willingness to learn and adapt to new technologies and office procedures.· Previous experience in a medical or chiropractic office setting preferred, but not required. View full detailed job description here. You are applying to work with a franchisee of HealthSource Chiropractic. If hired, the franchisee will be your only employer. Franchisees are independent business owners who set their own terms of employment, including wage and benefit programs. WHAT WE DO: At HealthSource Chiropractic, we don't just focus on chiropractic care-we prioritize the patient experience with a special emphasis on personalized care and well-being. We offer state of the art chiropractic treatments, personalized care plans, and holistic wellness services. When patients come to our clinic, they gain the power to reclaim their health and to get back to doing what they love- pain free. We offer comprehensive training and support to help our team succeed. To learn more about our exciting opportunity and then take the next step toward becoming a HealthSource team member today, simply contact us for more information. JOIN THE HEALTHSOURCE TEAM AND… Be a part of the ever-growing team focused on blending personalized and customized chiropractic and wellness care- in order to provide each patient with a unique treatment care plan! Access ongoing support and join a community of chiropractors, rehab specialists, billing specialist, and front desk specialists to enhance your skills and advance your career. Build a rewarding career with substantial earning potential Experience a practice environment that feels like home, with colleagues who feel like family. Spend your days in a professional, inviting clinic and foster meaningful connections with patients. Help patients achieve optimal health and wellness each day.
    $21 hourly Auto-Apply 49d ago
  • Patient Access Representative PRN - Nights and Weekends

    Cottonwood Springs

    Patient access representative job in McMinnville, OR

    Under general Supervision, monitors clinic operations with regard to the patient care treatment process. The Patient Services Representative assists the manager, clinic providers and other clinic staff in the appropriate delivery of patient care services. Ensure patients are properly scheduled for surgery, registered, checked-in and check-out; that all necessary patient information is obtained and verified for accuracy. To include but not limited to 1) coordinating patient billing functions, 2) scheduling surgeries and procedures, 3) coordinating surgical authorizations and referrals, and 4) working with manager/supervisor, physician to direct operations, to departmental compliance with hospital/clinic guidelines, patient satisfaction, and performance improvement. Minimum Qualifications: Ability to meet minimum clinic/hospital hiring standards. Strong clerical and customer service skills, including computer proficiency. 5 years, minimum, medical office and insurance billing experience. Knowledge of medical terminology, ICD-10 and CPT-5 Knowledge of Medicare, Medicaid and commercial payers. Working Knowledge of computer software programs and office equipment. Excellent communication skills include ability to relate well with a variety of people and to sustain an attitude of respect for all individuals. Ability to multi-task in a fast-paced environment displaying effective organizational, communication and interpersonal skills. Commitment to teamwork and providing excellent customer service utilizing the AIDET model. Willingness to work flexible hours. Essential Job Functions: Performs Coordinatorduties to include but not limited to obtaining appropriate authorizations, verifying insurance eligibility, scheduling procedures, notifying patient and obtaining owed monies initiating and distributing appropriately Patient cases when necessary. Performs surgery scheduling duties, including managing the surgery scheduling process and notifying the OR schedule of updates and cancelations. Compiles necessary documentation for procedure/surgery billing and submits to Coder. Performs accurate data entry, works the Athena workflow dashboard, the hold and manager hold buckets, and the Athena clinical's bucket. Performs routine clinic tasks to include but not limited to, charge entry and Co-pay/payment assignment. Other tasks/responsibilities assigned by the provider, manager and/ or supervisor. Manage special projects as assigned Drive continuous process improvement and training for relevant staff. Set and manage goal for key performance indicators related to surgery scheduling. Knowledge, skills, and Abilities: Demonstrate sound judgement, patience and always maintain a professional demeanor. Ability to work in a busy and stressful environment. Organizational skills and the ability to prioritize. Strong computer Skills Strong interpersonal, verbal and written communication skills. Creativity, problem analysis, and decision making. EEOC Statement: (facility name) is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
    $33k-41k yearly est. Auto-Apply 33d ago
  • Standardized/Simulated Patient (SP) (E)

    Bicultural Qualified Mental Health Associate (Qmhp

    Patient access representative job in Portland, OR

    We have an ongoing review of applicants and onboarding a few times each year, based on the needs of programs. We do not have a regular cycle of hiring. The next hiring phase is planned for March/April of 2026. This position works primarily in the Mark Richardson Interprofessional Simulation Center (MRISC) in the Robertson Life Sciences Building (RLSB), which is a 20,000 square foot facility. This position partners with the following including the undergraduate Medical Education programs; administers MMI's, OSCE's, CSAs, CPX, Physical Exam's, IPE training and all other standardized clinical teaching and simulation experiences within the four-year medical school curriculum. The SP depicts patients and provides feedback to our learners. In our inter-professional facility this position is also instrumental in the integration of Advanced Practice Nursing and other programs that are integrating SPs, simulation and our AV “SimCapture” technologies. This position will work in collaboration with other simulation partners across the university and hospital departments including Medicine, Physician's Assistant, Nursing, Dentistry, and the College of Pharmacy. Function/Duties of Position This position is under the direct supervision of the OHSU Senior SP Trainer and in partnership with the MRISC Operations Director. The duties include: portrayal of various clinical roles for educational purposes; help set up and put away the supplies for OHSU Simulation activities for faculty and student use; participate in simulation scenarios and OSCEs as an actor or in assisting to check students off of competencies. Help with other projects that facilitate learning activities for OHSU Simulation. Required Qualifications The primary skills required for this position are an organizational skills, flexibility, and willingness to get the job done. Experience in an academic environment. 2 years of actor or standardized patient work. A qualified candidate will be flexible, organized and willing to get the job done. Must be able to perform the essential functions of the position with or without accommodation. Preferred Qualifications Knowledge of healthcare terminology and skills equipment, computer and educational software. Experience in an academic/teaching hospital. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
    $33k-41k yearly est. Auto-Apply 60d+ ago
  • Standardized/Simulated Patient (SP) (E)

    OHSU

    Patient access representative job in Portland, OR

    We have an ongoing review of applicants and onboarding a few times each year, based on the needs of programs. We do not have a regular cycle of hiring. The next hiring phase is planned for March/April of 2026. This position works primarily in the Mark Richardson Interprofessional Simulation Center (MRISC) in the Robertson Life Sciences Building (RLSB), which is a 20,000 square foot facility. This position partners with the following including the undergraduate Medical Education programs; administers MMI's, OSCE's, CSAs, CPX, Physical Exam's, IPE training and all other standardized clinical teaching and simulation experiences within the four-year medical school curriculum. The SP depicts patients and provides feedback to our learners. In our inter-professional facility this position is also instrumental in the integration of Advanced Practice Nursing and other programs that are integrating SPs, simulation and our AV "SimCapture" technologies. This position will work in collaboration with other simulation partners across the university and hospital departments including Medicine, Physician's Assistant, Nursing, Dentistry, and the College of Pharmacy. Function/Duties of Position This position is under the direct supervision of the OHSU Senior SP Trainer and in partnership with the MRISC Operations Director. The duties include: portrayal of various clinical roles for educational purposes; help set up and put away the supplies for OHSU Simulation activities for faculty and student use; participate in simulation scenarios and OSCEs as an actor or in assisting to check students off of competencies. Help with other projects that facilitate learning activities for OHSU Simulation. Required Qualifications * The primary skills required for this position are an organizational skills, flexibility, and willingness to get the job done. * Experience in an academic environment. * 2 years of actor or standardized patient work. * A qualified candidate will be flexible, organized and willing to get the job done. * Must be able to perform the essential functions of the position with or without accommodation. Preferred Qualifications * Knowledge of healthcare terminology and skills equipment, computer and educational software. * Experience in an academic/teaching hospital. All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
    $33k-41k yearly est. Auto-Apply 26d ago
  • Patient Services Coordinator-LPN, Home Health

    Centerwell

    Patient access representative job in Vancouver, WA

    Become a part of our caring community and help us put health first The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console. Initiates infection control forms as needed, sends the HRD the completed “Employee Infection Report” to upload in the worker console. Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff. Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. Completes requested schedules for all add-ons and applicable orders: Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen. Schedules TIF OASIS collection visits and deletes remaining schedule. Reschedules declined or missed (if appropriate) visits. Processes reassigned and rescheduled visits. Ensures supervisory visits are scheduled. Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report. Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. Verifies visit paper notes in scheduling console as needed. Assists with internal transfer of patients between branch offices. If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary. If clinical, may be required to perform patient visits and / or participate in on-call rotation. Use your skills to make an impact Required Experience/Skills: Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices Have at least 1 year of home health experience. Prior packet review / QI experience preferred. Coding certification is preferred. Must possess a valid state driver's license and automobile liability insurance. Must be currently licensed in the State of employment if applicable. Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $45,400 - $61,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $45.4k-61.3k yearly Auto-Apply 60d+ ago
  • Patient Access Representative

    Mid-Columbia Medical Center 3.9company rating

    Patient access representative job in Portland, OR

    Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Responsible for timely and accurate patient registration. Interviews patients for all pertinent account information. Verify all insurance and calculates and collects patient liability amounts. Ensure that all necessary signatures are obtained for treatment. Answer any questions and explain policies clearly. Check for physician orders and attaches them to appropriate patient record to ensure correct test is received. Print and collate any paperwork needed for each patient to for distribution to unit/department. Escorts patients to his/her area or refers patient to available escort as needed. Job Requirements: Education and Work Experience: * High School Education/GED or equivalent: Preferred * Associate's/Technical Degree or equivalent combination of education/related experience: Preferred Essential Functions: * Check for physician orders and attaches them to patient medical record to ensure that patients are receiving appropriate tests. * Choose correct health plan and accurately and research to ensure accuracy when verifying insurance. Enter all authorization information accurately as needed. * Follows guidelines and instructions from senior staff. * Performs other job-related duties as assigned. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
    $32k-36k yearly est. Auto-Apply 38d ago
  • PAS Registration Coordinator, Per Diem Rotating Shifts

    Brigham and Women's Hospital 4.6company rating

    Patient access representative job in Salem, OR

    Site: North Shore Medical Center, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Arranges for the efficient and orderly admission of inpatients and admission of individuals who have hospital-based outpatient testing or procedures. Ensures that the patient information is collected and that patients are aware of hospital policies and procedures. Interviews incoming patient or representatives and enters information required for admission into computer database. Distributes appropriate information to ancillary departments. Participates in performance improvement and CQI activities Qualifications Ability to read, write and speak English required (additional languages a plus). Effective interpersonal skills. Analytical ability for numbers and situations. Ability to type 40 wpm. Familiarity with medical billing; managed care and other medical insurance. Previous office experience or training with exposure to keyboard, computer and other office equipment required, preferably in a medical setting. Previous experience or training in customer service required. Associate Degree in business or related field preferred Additional Job Details (if applicable) Additional Job Description Remote Type Onsite Work Location 81 Highland Avenue Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Rotating (United States of America) Pay Range $19.42 - $27.74/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: North Shore Medical Center, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $19.4-27.7 hourly Auto-Apply 27d ago
  • Legal Billing AP AR 90k+ DOE

    Northwest Staffing Resources

    Patient access representative job in Portland, OR

    Direct Hire Legal Accounting | AR/AP Join a collaborative and detail-oriented team where accuracy, integrity, and efficiency are valued every day. This position plays a key role in managing client billing, receivables, payables, payroll, and general accounting operations to ensure the firm's financial records remain precise and compliant. You'll work closely with attorneys, staff, and vendors to keep financial processes running smoothly and provide exceptional client service. LOCATION: Portland, OR SALARY: $90-110k/yr. DOE SCHEDULE: Full-time, Monday-Friday WHY YOU'LL LOVE THIS ROLE Supportive and professional work environment focused on teamwork and accountability. Opportunity to work across multiple areas of accounting and gain well-rounded experience. Competitive compensation and benefits package. Direct impact on firm operations through accurate financial management. KEY RESPONSIBILITIES Manage the complete billing cycle-from time entry and prebill review to final invoice preparation-to ensure accuracy and timely delivery. Process client payments, trust transactions, and vendor invoices while maintaining precise financial records. Reconcile accounts and prepare general ledger entries, supporting accurate month-end and year-end closings. Oversee payroll processing and compliance reporting, ensuring adherence to firm policies and regulatory requirements. WHAT WE'RE LOOKING FOR Minimum of 5 years of accounting or finance experience, ideally within a law firm environment. Proficiency with accounting and billing software; advanced Excel skills required. Strong attention to detail, organization, and accuracy in all work. Effective communicator with excellent problem-solving and analytical abilities. Demonstrated ability to prioritize tasks and work both independently and collaboratively. PHYSICAL REQUIREMENTS This position operates primarily in a professional office environment, requiring extended periods of sitting, computer use, and occasional lifting of files or office materials up to 20 pounds. The role involves frequent interaction with team members and clients in a standard business setting with moderate noise levels. DIVERSITY, EQUITY, AND INCLUSION STATEMENT We are committed to fostering an inclusive workplace that welcomes diverse candidates. All qualified applicants will be considered regardless of background, identity, or status. This position is offered through the Legal Northwest Branch of NW Staffing Resources. When applying through nwstaffing.com, please click “Apply Here” and select the Legal Northwest Branch for immediate consideration. Or contact our office directly at 503.242.2514 to speak with a Recruiter. Job ID# 140193 For more information regarding our company and employee benefits please click on the links below. About Legal Northwest | NW Staffing Resources NW Staffing Employee Benefits
    $36k-44k yearly est. 9d ago
  • Patient Access Representative

    Legacy Health System 4.6company rating

    Patient access representative job in Vancouver, WA

    You are the first face patients see - setting the tone for a welcoming and positive experience. Simply put, you are the face of Legacy. As we work to fulfill our mission of making life better for others, we need compassionate and capable individuals to guide patients through every step of their healthcare journey. As a Patient Access Representative, you'll use your strong communication and interpersonal skills to collect insurance and other essential information, assist patients and families in understanding their financial responsibilities, collect co-payments, and ensure required legal documentation is obtained for state and federal compliance. Your attention to detail in creating accurate medical and financial records will make a meaningful difference for both patients and our medical teams. Patient Access is a 24 hour 7 day a week operation. Variable shifts will include nights and weekends. Responsibilities The Patient Access Representative serves as the primary non-clinical contact for all hospital-based patient visits. Responsibilities include: * Greeting, registering, checking in, and admitting patients according to scope and service line. * Collecting patient demographics, identifying medical providers involved in care, and documenting medical decision-makers. * Verifying insurance coverage and benefits, and determining patient financial responsibilities. * Assisting patients and families in understanding active insurance coverage and providing guidance on accessing financial and insurance resources. * Offering self-pay information and applicable discounts. * Collecting copayments, coinsurances, deposits, and payments as appropriate. * Collaborating with Revenue Cycle departments and hospital units to ensure accurate medical and financial records. * Collecting and submitting required legal documentation to meet State and Federal compliance regulations. Qualifications Education: * High School diploma or equivalent required. * Two years college education including satisfactory completion of college level Health Records coursework preferred. Experience: * A minimum of one year of healthcare experience or equivalent education in at least one of the following areas required: Patient Access, Medical Records/Health Information or applicable clerical support experience. * Six months customer service experience required. * Previous registrar and third-party payor experience preferred. * An understanding of health plan and benefit structures preferred. Skills: * Effective written and verbal communication skills. * Critical thinking and problem-solving skills required. * Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines. * Demonstrated effective interpersonal skills which promote cooperation and teamwork. * Ability to withstand varying job pressures and organize/prioritize related job tasks. * Ability to perform multiple tasks at the same time. * Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner. * Ability to deal with people in emergent and/or stressful situations. * Ability to identify alternative means of communication as needed. * Ability to adapt to change. * Keyboard skills and ability to navigate electronic systems applicable to job functions. * Ability to maneuver through several applications including electronic medical records, Microsoft Office applications, different software, website, and databases. * Demonstrated understanding of complex collection issues. * Demonstrated knowledge of multi-payor systems, and understanding and applying e-coverage results preferred. * Demonstrated knowledge of billing/collection, past balances, deposits and knowing State and Federal rules and regulations preferred. * Ability to understand and adhere to EMTALA (Emergency Medical Treatment and Labor Act) guidelines. * Able to communicate patient financial communication, offer financial aid services, educating patients on eligibility and in and out of network status. * Ability to enroll patients into Presumptive Medicaid services - which entails a detailed questionnaire with the patient to determine eligibility * Knowledge of medical terminology. Pay Range USD $21.88 - USD $31.27 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************
    $21.9-31.3 hourly Auto-Apply 3d ago
  • PTA - In-Patient

    Reliant 4.0company rating

    Patient access representative job in Longview, WA

    Meda Health is looking for a PTA to work a travel assignment in an acute care hospital setting. Must have at least two years of experience, state licensure and BLS. Competitive and Transparent Pay We value your expertise and respect your dedication - and our goal is to compensate you more than fairly for them. We don't want you to scramble to figure out your coverage, especially when you're already feeling under the weather. At Meda Health, your coverage starts when you do. You're covered, period. Our employees get the following benefits right off the bat: Health Vision Dental Life insurance
    $31k-38k yearly est. 60d+ ago
  • Patient Access Representative, Variable Shift

    Mid-Columbia Medical Center 3.9company rating

    Patient access representative job in Tillamook, OR

    Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Responsible for timely and accurate patient registration. Interviews patients for all pertinent account information. Verify all insurance and calculates and collects patient liability amounts. Ensure that all necessary signatures are obtained for treatment. Answer any questions and explain policies clearly. Check for physician orders and attaches them to appropriate patient record to ensure correct test is received. Print and collate any paperwork needed for each patient to for distribution to unit/department. Escorts patients to his/her area or refers patient to available escort as needed. Job Requirements: Education and Work Experience: * High School Education/GED or equivalent: Preferred * Associate's/Technical Degree or equivalent combination of education/related experience: Preferred Essential Functions: * Check for physician orders and attaches them to patient medical record to ensure that patients are receiving appropriate tests. * Choose correct health plan and accurately and research to ensure accuracy when verifying insurance. Enter all authorization information accurately as needed. * Follows guidelines and instructions from senior staff. * Performs other job-related duties as assigned. * Performs other job-related duties as assigned. Organizational Requirements: Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply. Adventist Health participates in E-Verify. Visit ******************************************** for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
    $32k-36k yearly est. Auto-Apply 28d ago
  • Patient Representative (Patient Account Rep 1)

    OHSU

    Patient access representative job in Portland, OR

    As the Patient Representative you will review accounts, refund patients and insurance companies. Assist Tuality cash team as needed by sorting/dist. mail, scanning refund and other documents as needed into Onbase. In this role your duties will include bill, process adjustments, collect on accounts, and/or perform customer service duties to ensure that monies due University Hospital are secured and paid in a timely manner and the AR outstanding days of revenue are kept to a minimum. Assignment will be flexible depending on payor mix, patient flow, and workload fluctuations Function/Duties of Position Third party follow-up and collection: * Within the stratified processing environment, collect assertively and proactively money due OHSU by contacting (through telephoning, emailing, and/or accessing on-line systems) third parties (insurance carrier, various government programs, etc.) * Provide explanation of charges and additional requested information to the third parties. * Analyze accounts to determine coordination of benefits, refunds, and denials to insure appropriate resolution of accounts. * Review billing to determine medical records necessary to provide complete processing of claim. * Analyze accounts with regard to billing and payment history and uses judgment to determines appropriate follow-up action based on departmental guidelines * Contact patient/guarantor to resolve issues (includes tracing and locating patient/guarantor by telephoning and/or sending written correspondence.) * Analyze accounts and interpreting contracts that dictate how claims should be paid and processing adjustments for contract interpretation. * Comply with special billing and follow-up requirements regarding adoptions, court holds, motor vehicle and personal injury accidents, and other unique or sensitive accounts * Work reports of denied claims to trend and report these claims to the department and to our front end partners * Work closely with admitting, care management and ambulatory services on the denied claims for resolution and feedback purposes * Prepare the appeals for selected denials Billing * Submit bills that comply with all appropriate regulations, managed care contracts to third party payors. * Calculate the correct reimbursement of all managed care claim Other Duties as Assigned Required Qualifications * Two years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; OR * Four years of general collection, billing or customer service experience; OR * Equivalent combination of education and experience. * Certified Revenue Cycle Specialist (CRCS) is required within 18 months of hire. Positions outside of Patient Business Services may not require certification. * Must be able to perform the essential functions of the position with or without accommodation Preferred Qualifications * 1 year of recent medical collection and/or billing experience. Work experience must have occurred within five years of the date of hire. * Recent (within one year of date of hire) Microsoft Office Suite experience in Windows environment with skill in document production using WORD, spreadsheet construction in EXCEL. * Familiarity with DRG, CPT, HCPC and ICD-10 coding. Job Related Knowledge, Skills and Abilities (Competencies): * Typing 45 wpm * Ability to use multiple system applications * Demonstrated ability to communicate effectively verbally or in writing. * Demonstrated ability to prioritize and accomplish multiple tasks in a fast paced environment; consistently adhering to defined due dates * Experience in billing Hospital claims or UB-04 claims. * Knowledge of and experience in interpreting managed care contracts. * Must be able to perform the essential functions of the position with or without accommodation Additional Details Benefits: * Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee * Two separate above market pension plans to choose from * Vacation- up to 200 hours per year depending on length of service * Sick Leave- up to 96 hours per year * 8 paid holidays per year * Substantial Tri-met and C-Tran discounts * Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP) All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
    $31k-37k yearly est. Auto-Apply 2d ago
  • Patient Representative (Patient Account Rep 1)

    Bicultural Qualified Mental Health Associate (Qmhp

    Patient access representative job in Portland, OR

    As the Patient Representative you will review accounts, refund patients and insurance companies. Assist Tuality cash team as needed by sorting/dist. mail, scanning refund and other documents as needed into Onbase. In this role your duties will include bill, process adjustments, collect on accounts, and/or perform customer service duties to ensure that monies due University Hospital are secured and paid in a timely manner and the AR outstanding days of revenue are kept to a minimum. Assignment will be flexible depending on payor mix, patient flow, and workload fluctuations Function/Duties of Position Third party follow-up and collection: Within the stratified processing environment, collect assertively and proactively money due OHSU by contacting (through telephoning, emailing, and/or accessing on-line systems) third parties (insurance carrier, various government programs, etc.) Provide explanation of charges and additional requested information to the third parties. Analyze accounts to determine coordination of benefits, refunds, and denials to insure appropriate resolution of accounts. Review billing to determine medical records necessary to provide complete processing of claim. Analyze accounts with regard to billing and payment history and uses judgment to determines appropriate follow-up action based on departmental guidelines Contact patient/guarantor to resolve issues (includes tracing and locating patient/guarantor by telephoning and/or sending written correspondence.) Analyze accounts and interpreting contracts that dictate how claims should be paid and processing adjustments for contract interpretation. Comply with special billing and follow-up requirements regarding adoptions, court holds, motor vehicle and personal injury accidents, and other unique or sensitive accounts Work reports of denied claims to trend and report these claims to the department and to our front end partners Work closely with admitting, care management and ambulatory services on the denied claims for resolution and feedback purposes Prepare the appeals for selected denials Billing Submit bills that comply with all appropriate regulations, managed care contracts to third party payors. Calculate the correct reimbursement of all managed care claim Other Duties as Assigned Required Qualifications Two years of recent (within the last 5 years) experience billing or collecting healthcare accounts in a business office; OR Four years of general collection, billing or customer service experience; OR Equivalent combination of education and experience. Certified Revenue Cycle Specialist (CRCS) is required within 18 months of hire. Positions outside of Patient Business Services may not require certification. Must be able to perform the essential functions of the position with or without accommodation Preferred Qualifications 1 year of recent medical collection and/or billing experience. Work experience must have occurred within five years of the date of hire. Recent (within one year of date of hire) Microsoft Office Suite experience in Windows environment with skill in document production using WORD, spreadsheet construction in EXCEL. Familiarity with DRG, CPT, HCPC and ICD-10 coding. Job Related Knowledge, Skills and Abilities (Competencies): Typing 45 wpm Ability to use multiple system applications Demonstrated ability to communicate effectively verbally or in writing. Demonstrated ability to prioritize and accomplish multiple tasks in a fast paced environment; consistently adhering to defined due dates Experience in billing Hospital claims or UB-04 claims. Knowledge of and experience in interpreting managed care contracts. Must be able to perform the essential functions of the position with or without accommodation Additional Details Benefits: Healthcare Options - Covered 100% for full-time employees and 88% for dependents, and $25K of term life insurance provided at no cost to the employee Two separate above market pension plans to choose from Vacation- up to 200 hours per year depending on length of service Sick Leave- up to 96 hours per year 8 paid holidays per year Substantial Tri-met and C-Tran discounts Additional Programs including: Tuition Reimbursement and Employee Assistance Program (EAP) All are welcome Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at ************ or *************.
    $31k-37k yearly est. Auto-Apply 4d ago
  • Patient Access Representative

    Legacy Health 4.6company rating

    Patient access representative job in Tualatin, OR

    You are the first face patients see - setting the tone for a welcoming and positive experience. Simply put, you are the face of Legacy. As we work to fulfill our mission of making life better for others, we need compassionate and capable individuals to guide patients through every step of their healthcare journey. As a Patient Access Representative, you'll use your strong communication and interpersonal skills to collect insurance and other essential information, assist patients and families in understanding their financial responsibilities, collect co-payments, and ensure required legal documentation is obtained for state and federal compliance. Your attention to detail in creating accurate medical and financial records will make a meaningful difference for both patients and our medical teams. Responsibilities The Patient Access Representative serves as the primary non-clinical contact for all hospital-based patient visits. Responsibilities include: Greeting, registering, checking in, and admitting patients according to scope and service line. Collecting patient demographics, identifying medical providers involved in care, and documenting medical decision-makers. Verifying insurance coverage and benefits, and determining patient financial responsibilities. Assisting patients and families in understanding active insurance coverage and providing guidance on accessing financial and insurance resources. Offering self-pay information and applicable discounts. Collecting copayments, coinsurances, deposits, and payments as appropriate. Collaborating with Revenue Cycle departments and hospital units to ensure accurate medical and financial records. Collecting and submitting required legal documentation to meet State and Federal compliance regulations. Qualifications Education: High School diploma or equivalent required. Two years college education including satisfactory completion of college level Health Records coursework preferred. Experience: A minimum of one year of healthcare experience or equivalent education in at least one of the following areas required: Patient Access, Medical Records/Health Information or applicable clerical support experience. Six months customer service experience required. Previous registrar and third-party payor experience preferred. An understanding of health plan and benefit structures preferred. Skills: Effective written and verbal communication skills. Critical thinking and problem-solving skills required. Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines. Demonstrated effective interpersonal skills which promote cooperation and teamwork. Ability to withstand varying job pressures and organize/prioritize related job tasks. Ability to perform multiple tasks at the same time. Excellent public relations skills and demonstrated ability to communicate in calm, succinct, business-like manner. Ability to deal with people in emergent and/or stressful situations. Ability to identify alternative means of communication as needed. Ability to adapt to change. Keyboard skills and ability to navigate electronic systems applicable to job functions. Ability to maneuver through several applications including electronic medical records, Microsoft Office applications, different software, website, and databases. Demonstrated understanding of complex collection issues. Demonstrated knowledge of multi-payor systems, and understanding and applying e-coverage results preferred. Demonstrated knowledge of billing/collection, past balances, deposits and knowing State and Federal rules and regulations preferred. Ability to understand and adhere to EMTALA (Emergency Medical Treatment and Labor Act) guidelines. Able to communicate patient financial communication, offer financial aid services, educating patients on eligibility and in and out of network status. Ability to enroll patients into Presumptive Medicaid services - which entails a detailed questionnaire with the patient to determine eligibility Knowledge of medical terminology. Pay Range USD $21.88 - USD $31.27 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************
    $21.9-31.3 hourly Auto-Apply 60d+ ago

Learn more about patient access representative jobs

How much does a patient access representative earn in Hillsboro, OR?

The average patient access representative in Hillsboro, OR earns between $30,000 and $45,000 annually. This compares to the national average patient access representative range of $27,000 to $41,000.

Average patient access representative salary in Hillsboro, OR

$37,000

What are the biggest employers of Patient Access Representatives in Hillsboro, OR?

The biggest employers of Patient Access Representatives in Hillsboro, OR are:
  1. Kaiser Permanente
  2. Christian City Inc.
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