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 - they're 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:
Preferred Qualifications:
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.
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.
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.