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Front desk & admin

Pre-Registration Representative

Legacy Health logoLegacy Health$21.25–$30.39/hrPortland, ORPart timeAdded 6d agoStill open, checked every night

How this pay compares

This posting states $21.25–$30.39 an hour. Open patient access representative jobs in Oregon post a median of $24.50 an hour, the middle half $23.47–$27.11, across 41 jobs that state their pay, so this one is within the middle half of what they post. Patient access representatives employed in Oregon earn a median of $24.39 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Patient access representatives in Oregon: pay by town and employer

The Patient Access, Coding & Medical Admin job market: pay, applicant demand and hiring, researched nightly

Union record

By the bargaining notices filed with the Federal Mediation and Conciliation Service, unions bargain for workers at Legacy Health here: Service Employees International Union Local 49 at Portland, OR (1,004 workers, contract up for renewal 30 Jun 2026); American Federation of Teachers 6552 at Portland, OR (180 workers, bargaining a first contract); Oregon Nurses Association at Portland, OR (175 workers, bargaining a first contract). Each union represents its own unit: ask the recruiter whether this position is in one. Healthcare union contracts.

Workplace injuries

Emanuel in Portland reported 108 work injuries and illnesses to OSHA for 2025 over 5,021,610 hours worked: 4.3 per 100 full-time workers, against 5.1 per 100 full-time workers at general hospitalsnationwide. 10 of them describe violence by a patient, resident or client in the case's own words. This is the employer's own report. Workplace injuries by employer.

Patient access, front desk and medical coding jobs in our research

  • How long these jobs stay listed: Median days to removal 14.0 days · Still listed at 7 days 66.2%
  • Applicant demand per open job on this site (1.00x is the average job): Index 4.76x · Clicks 223
  • How often these jobs state their pay: Jobs stating any pay 50.0% · Stating an hourly rate 44.8%

From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Patient access, front desk and medical coding jobs

About the job

Overview

At Legacy, we strive to show our patients and their family members that we care about them. We follow that down to every detail because our mission is to make life better for others. You can help us with that mission in the pre-registration department as a Pre-registration Representative . Your pleasant, friendly demeanor will set the tone as you contact patients and family members to complete pre-registration and other documents, help patients understand their liability, promptly return patient phone calls and inform patients of important items to bring to their procedures.

Responsibilities

  • Contacts patients and/or family members to complete pre-registration of demographic/visit information and documents outcomes per documentation standards.
  • Informs patient of estimated patient liability within regulatory required timelines and collects appropriate co-payments, coinsurances, deposits and payments over the phone.
  • Returns patient phone calls, answers patient inquiries regarding logistical information, informs patients of critical items to bring to the procedure.
  • Completes assigned administrative and downtime activities.
  • Works in collaboration with most Revenue Cycle departments and scheduling departments to create accurate medical and financial records.
  • Collects and provides required legal documentation to meet State and Federal compliance regulations.

Qualifications

Education

  • High school diploma or equivalent required.
  • A minimum of 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:
  • Pre-Registration
  • Admitting
  • Patient Access
  • Applicable clerical support experience
  • Six months customer service experience required.
  • Previous registrar and third-party payer experience preferred.
  • An understanding of health plan and benefit structures preferred.

Skills

  • Demonstrated ability to communicate clearly in the English language
  • Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines
  • Strong written and verbal communication, and 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 interact with people in stressful situations
  • Ability to identify alternative means of communication as needed
  • Ability to adapt to change
  • Net typing of 40 WPM and PC based computer skills
  • Familiarity with 10 key
  • Knowledge of medical terminology

Licensure

  • National Certification of CHAA preferred.

Pay Range

USD $21.25 - USD $30.39 /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: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

From Legacy Health's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Legacy Health

Legacy Health is a nonprofit health system based in Portland, Oregon, with six hospitals plus Randall Children's Hospital, about 70 (source: Legacy Health, Who We Are) clinics and more than 14,000 (source: Legacy Health, Who We Are) employees in Oregon and southwest Washington. Source: Legacy Health, Who We Are

Based in Portland, ORHires in Oregon, WashingtonPay on its listings: 85.3% of its open jobs state an hourly rate

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