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Sunset view of Puget Sound in Everett, Snohomish County, Washington

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Providence Health & Services Patient Services and Access Representative - PMG Behavioral Health in Everett, Washington

Description:

Providence is calling a Patient Services and Access Representative (1.0 FTE, Day) to Providence Health & Services in Everett, WA

This position will provide efficient, accurate, and effective customer focused communication services, pre-registration of new patients and verification of registration for established patients. Obtain and verify insurance eligibility verification for behavioral health patients and obtains referral authorizations. Ensure payer requirements are met in a timely manner. Provide routine and complex financial counseling to patients, researches routine and complex billing issues.

In this position you will:

  • Ensure outside appointments completed, referral closed, and consult notes received

  • Confidential information & conversations are secured from general public access

  • Ensure all faxes and other communications between the RC, the lead node, and the data management centers adhere to federal regulations

  • Collect and verify insurance authorization requirements to ensure payer requirements are met in a timely manner

  • Communicate with internal and external customers including medical providers, clinic staff, and insurance companies

  • Maintain ongoing tracking and appropriate documentation on referrals and authorizations via computer system and/or manual systems

Qualifications:

Required qualifications for this position include:

  • High School diploma or equivalent.

  • Minimum three years health care business office or insurance experience required, with a minimum of 1-year ambulatory practice experience

  • Comprehensive working knowledge of third party insurance processes required.

  • Working knowledge of front and back office functions

  • Prior experience in liaison role for providers and staff

Preferred qualifications for this position include:

  • Bachelor’s Degree

  • Training in coding with one year experience with coding: ICD-9, ICD-10, CPT, HCPCS

  • One-year patient third party eligibility verification experience on an automated patient accounts system

About the clinic you will serve:

Providence Medical Group is a group of primary care, specialty care and hospital-based medical providers who serve Snohomish County in more than 10 locations in scenic northwest Washington. Our providers and staff strive to create a distinctive health care experience for each patient – one focused on trust, respect, communication and teamwork.

We offer a full comprehensive range of benefits - see our website for details

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: Washington-Everett

Req ID: 236966

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