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Providence Health & Services Insurance Verification / Authorization and Customer Support Specialist in Everett, Washington

Description:

Providence is calling a Insurance Verification / Authorization and Customer Support Specialist (Registration Operations, Day Shift, 1.0 FTE) to Providence Regional Medical Center in Everett, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.

The Insurance Verification and Authorization Specialist is responsible for securing appropriate patient account reimbursement by obtaining complex demographic, insurance, and medical information, identifying services requiring authorization for treatment and referral information. This role is responsible for adding proper documentation to reflect the work in Epic. In addition, effectively communicate with internal and external customers including medical providers, clinic staff, and insurance companies.

In this position you will:

  • Verification of insurance eligibility.

  • Ensuring Admission Notification has been completed.

  • Identifying services and payers requiring authorization and ensuring required authorizations are in place.

  • Identifying services requiring a referral and ensuring it is in place.

  • Identifying services requiring consent forms (eg: Sterilization) and ensuring signed forms are in place.

  • Ensuring Motor Vehicle Accident, Workers Compensation or other Third Party Liability paperwork has been completed.

Qualifications:

Required qualifications for this position include:

  • 1 year experience in customer service, hospital billing, or healthcare registration.

  • Clerical and computer experience.

  • Knowledge of CPT and ICD9/ICD10 coding and medical terminology.

  • Experience with MS Outlook, Word and Excel.

Preferred qualifications for this position include:

  • Some college level course work.

  • Satisfactory completion of college level Medical Terminology or Medical Assistant course.

  • Experience with Epic computer system, One Health Port and MIRA is

About the hospital you will serve.

Providence Regional Medical Center Everett in Everett, WA is the state’s most award-winning hospital for medical care; having received the HealthGrades Distinguished Hospital Award for Clinical Excellence four years in a row. Our new state-of-the-art 12 story hospital tower and the implementation of Epic EMR will significantly enhance our patient’s experience throughout the continuum of care.

The hospital is located in Snohomish County on the Sound and close to the mountains, so outdoor activities such as snow skiing, kayaking, and golfing are at your doorstep. The communities in Snohomish have all the comforts and appeal of small towns, with historical districts, beautiful homes, interesting boutiques, and unique restaurants, yet the city life of Seattle and Bellevue are just 30 minutes south, while the cosmopolitan city of Vancouver, BC lies only 2 hours north .

We offer a full comprehensive range of benefits — see our website for details —http://www.providenceiscalling.jobs/rewards-benefits

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://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 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.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: Washington-Everett

Req ID: 331727

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