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Lead Patient Financial Counselor – Clinical Program Services
ProvidenceLead Patient Financial Counselor assisting with financial counseling at Providence Health Care Region. Oversee daily operations while supporting patient services and resolving insurance-related inquiries.
About the role
Key responsibilities & impact- Assists with work queues by monitoring activity related to timely resolution for hospitals, clinics, pharmacies, and insurance companies
- Trains new employees and manages daily workflow of financial counseling team members
- Acts as a liaison between Financial Counseling team and management
- Monitors and educates on controllable denials
- Obtains payer authorizations, verifies coverage and benefit information for procedures performed at INWA
- Supports patient services in obtaining prior authorizations for services ordered 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 high-deductible patients and explains the financial assistance program for customers that do not qualify for insurances
Requirements
What you’ll need- 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, ICD‑9, and ICD‑10 coding
- Washington State and Oregon Exchange Regulations and Medicaid process experience
- Experience working within a medical specialty environment
- 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
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Infusion authorizationCPT codingICD-9 codingICD-10 codingprior authorizationmedical insurancethird-party payer requirementsdata entryMicrosoft OutlookMicrosoft Excel
Soft Skills
customer serviceorganizational skillsindependent worktrainingcommunicationliaisonworkflow management