Description

Lead Patient Financial Counselor - Clinical Program Services, Providence Health Care Region supporting Providence Sacred Heart Medical Center & Children's Hospital and Providence Holy Family Hospital in Spokane, WA

Under the direction of the Practice Director/Manager, assists with work queues by monitoring activity related to timely resolution for hospitals, clinics, pharmacies, and insurance companies. Escalates issues and concerns to management as needed. Trains new employees and manages daily workflow of financial counseling team members. Acts as a liaison between Financial Counseling team and management. Monitors and educations on controllable denials. Obtains payer authorizations, verifies coverage and benefit information for procedures performed at INWA.

Maintains NCCN competency with payer regulations and requirements to ensure optimum reimbursement for INWA providers; assists patients with co-pay and financial assistants for underinsured and non-insured patients receiving chemotherapy and secondary drugs. Supports patient services in obtaining prior authorizations for services order by INWA providers as needed. Assists customers with signing up for any Medicaid programs available within our community. Assists customers with the insurance exchange program during open enrollment season. Collects deposits from our high-deductible patients; and explains the financial assistance program for customers that do not qualify for insurances.

Providence caregivers are not simply valued theyre invaluable. Join our team at Providence Health Care Region and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we Providence know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• 2 years of customer service (including public interaction)



• 2 years of Infusion authorization experience



• 2 years of experience with medical and health plan terminology including CPT, ICD9, and ICD10 coding



• Washington State and Oregon Exchange Regulations and Medicaid process experience



• Experience working within a medical specialty environment

Preferred Qualifications:

• 2 years of experience with prior authorization, medical insurance, and third-party payer requirements



• Experience with EPIC and or a similar Electronic Medical Record (EMR) system



• 2 years of oncology experience



• Data entry and computer experience



• Proficiency with Microsoft applications such as, Outlook, Teams, Word, and Excel



• Ability to work independently and stay organized

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

About Providence

At Providence, our strength lies in Our Promise of Know me, care for me, ease my way. Working at our family of organizations means that regardless of your role, well walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

About the Team

Providence has been serving the Inland Northwest since 1886 when Mother Joseph and the Sisters of Providence founded Sacred Heart Medical Center. Today, Providence is the largest health care provider in Washington located in communities large and small across the state. In eastern Washington, Providence provides care throughout Spokane, Stevens and Walla Walla counties.

Our award-winning and comprehensive medical centers are known for outstanding programs in cancer, cardiology, neurosciences, orthopedics, women's services, emergency and trauma care, pediatrics and neonatal intensive care. Our not-for-profit network also provides a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and home care.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment 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. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern.

Requsition ID: 428860

Company: Providence Jobs

Job Category: Patient Financial Services

Job Function: Revenue Cycle

Job Schedule: Full time

Job Shift: Day

Career Track: Admin Support

Department: 3041 CLINICAL PROGRAM SERVICES WA SHMC SPOKANE

Address: WA Spokane 101 W 8th Ave

Work Location: Sacred Heart Medical Center-Spokane

Workplace Type: Hybrid

Pay Range: $23.84 - $36.48

The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.