Patient Financial Counselor

Providence Health & Services
medical insurance, life insurance, parental leave, 401(k)
United States, Washington, Everett
Nov 12, 2024
Description Patient Financial Counselor at Providence Sacred Heart Medical Center, Spokane WA. The patient financial counselor in transplant plays an integral role in assisting patients with the critical function of financial planning for their transplant surgery, and future medical needs as well as assuring transplant department billing compliance. The primary responsibility of the patient financial counselor is assessing patient's insurance coverage and financial situation for transplantation and immunosuppressant drug coverage. The patient financial counselor is also a key member of the transplant program and must provide up to date and accurate input on patient financial clearance for transplantation. Some of the duties of the role are: Reviews referred and wait listed patient insurance to determine coverage and eligibility prior to scheduling. Obtains insurance authorizations for, pre, peri, and post-transplant patients. Counsels patients undergoing evaluation as to the financial impact of transplant, reviews their financial statement, and immunosuppressant drug charges and provides patients with paperwork describing their out-or-pocket expenses pre, peri, and post-transplant. Coordinates with the Transplant Social Worker for assistance in obtaining grants, special assistance funds, as well as providing information to the social worker on potential compliance or other pertinent issues. Prepares for and participates in Patient Selection Committee meetings in terms of financial clearance of potential transplant candidate and VAD patients. Assists in resolving financial problems for transplant program patients, which includes both verbal and written correspondence with insurance companies, hospitals, physician billing services, patients, and other groups. Enters all necessary data and documentation into the electronic medical record. Remains abreast of all Federal and State regulations regarding organ transplant reimbursement issues.. Completes transplant program charge verification on a daily basis. Places the specialty billing flag on living donor and transplant candidate accounts. Ensures the transplant guarantor is in place on all transplant accounts. Registers all pre-transplant patients and donors prior to clinic appointments, radiology, and consults. Obtains an authorization on all out-of-network patients. Communicates these authorizations to contracting. Ensures that the fully executed SCA or LOA is in the patient's electronic medical record. Prepares invoices with the appropriate account and sub-account for reimbursement for patient examination work up. Required Qualifications: Computer and / or data entry Preferred Qualifications: College education in medical office, medical information or related medical business field 2 years Hospital or medical business office functions Medical insurance and third party payer requirements Microsoft Office applications including Word, Excel and Outlook Customer Service Financial Counseling Web-based software 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, we'll 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. 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. 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. 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. Requsition ID: 327111 Company: Providence Jobs Job Category: Patient Financial Services Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3040 KIDNEY ACQUISITION WA SHMC SPOKANE DOCTORS BLDG 1 Address: WA Spokane 105 W 8th Ave Work Location: Sacred Heart Doctors Bldg-Spokane Workplace Type: On-site Pay Range: $19.57 - $30.53 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.