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Patient Services and Access Representative - Pmg Nw Centralized Staff Pool

Company: Providence Health & Services
Location: Everett
Posted on: May 3, 2021

Job Description:

Providence is calling a Patient Services and Access Representative (Per Diem, Day Shift) to Pmg Nw Centralized Staff Pool at Providence Medical Group Northwest Washington in Everett, WA.

We are seeking a Patient Services and Access Representative who will provide efficient, accurate, and effective customer focused communication services, pre-registration of new patients and verification of registration for established patients. Obtains and verifies insurance eligibility verification for behavioral health patients and obtains referral authorizations. Ensures payer requirements are met in a timely manner. Provides routine and complex financial counseling to patients, researches routine and complex billing issues. Collect and verify insurance authorization requirements to ensure payer requirements are met in a timely manner. Effectively communicate with internal and external customers including medical providers, clinic staff, and insurance companies.

In this position you will have the following responsibilities:

  • Referral Queue management in Epic.
  • Referral review and turn around within 24 hours
  • Comprehensive knowledge of Payer guidelines for behavioral health coverage.
  • 24 hour follow up call with payers to determine patient's coverage
  • Referral tracking for outside consultation.
  • Ensures outside appointments completed, referral closed, and consult notes received

Required qualifications for this position include:

  • H.S. Diploma or GED or equivalent educ/experience
  • Coursework/Training in coding
  • One (1) year experience with coding: ICD-9, ICD-10, CPT, HCPCS
  • Three (3) years health care business office or insurance experience required, with a minimum of 1-year ambulatory practice experience
  • Prior experience in liaison role for providers and staff

Preferred qualifications for this position include:

  • Bachelor's Degree
  • ONe (1) 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.

Keywords: Providence Health & Services, Everett , Patient Services and Access Representative - Pmg Nw Centralized Staff Pool, Other , Everett, Washington

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