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Providence Health & Services Admissions Assistant - Health Information Management in Tukwila, Washington

Description:

Providence is calling an Admissions Assistant (1.0 FTE,, Day Shift) to work in Health Information Management Providence Infusion and Pharmacy Services in Tukwila, 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.

Apply Today! Applicants that meet qualifications will receive a text with some additional questions from our Modern system.

This position is responsible for front-end reimbursement duties, providing phone and clerical support to the clinical component of home infusion. Other responsibilities include entering patient referral data into the database, entering physician information into the database, entering outcomes information into the database, and tracking CIIs and patient satisfaction surveys.

In this position you will:

  • Verifies insurance benefits and eligibility on all new referrals.

  • Performs monthly verification of Department of Social and Health Services (DSHS) coverage for long term Medicaid patients and weekly verification for capitated Hospice patients.

  • Assist in evaluation of documentation to determine if patient meets criteria for coverage of therapy.

  • Gather necessary information to assure accuracy and completeness of forms and reports.

  • Responsible for creating Cost Disclosure/Advance beneficiary notices for Medicare patients and tracking for signed form.

  • Responsible for generating benefits letter to inform patient/responsible party of financial responsibility and sending to patient.

  • Responsible for entering new patient and physician date into the software database, including new therapy sessions on existing patients; Enter ICD-9/ICD-10 codes as needed.

  • Obtain PCP referral request and follow-up.

  • Document appropriately in patient electronic record regarding payer/billing information.

  • Obtain initial pre-authorizations as required by insurance plans.

  • Verification of physician licensure on an ongoing basis.

  • Participate in QA/QI.

  • Responsible for performing Medicare Part D eligibility and drug formulary checks.

  • Prepare hospital charity agreements and send and track patient financial assistance applications.

Qualifications:

Required qualifications for this position include:

  • One (1) year experience in medical office setting

Preferred qualifications for this position include:

  • Reimbursement experience

  • Experience with verification of insurance benefits

About the ministry you will serve.

Providence Infusion and Pharmacy Services in Tukwila, Washington provides pharmaceutical services to patients in communities throughout Washington, Alaska, Idaho and Montana. Patient safety, patient satisfaction, and clinical outcomes are our priorities. Our services include nutrition and pharmacological therapies to patients in their homes or in our Ambulatory Suites, disease management and related specialized infusion therapies, and clinical nurse, pharmacist, and nutrition consulting and support services.

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-Tukwila

Req ID: 303220

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