Providence Patient Services and Access Representative - Im Residency Clinic in Everett, Washington
Providence St. Joseph Health is calling a Patient Services and Access Representative (1.0 FTE, Day Shift) to work in Im Residency Clinic at Providence Medical Group Northwest Washington in Everet, 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
1 year experience with coding: ICD-9, ICD-10, CPT, HCPCS
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:
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.
For information on our comprehensive range of benefits, visit:
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.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. 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.
Job Category: Patient Services
Req ID: 290103