PNW PACE Eligibility Coordinator

MultiCare Health System

Tacoma, WA

JOB DETAILS
JOB TYPE
Full-time, Employee
SKILLS
Adjudication, Billing, Career Development, Fellowship, Healthcare, Insurance, Marketing, Medicaid, Medical Terminology, Organizational Skills, Patient Care, Regulatory Requirements, Spreadsheets, Statutory Laws, Tuition Fees
LOCATION
Tacoma, WA
POSTED
1 day ago

Join a team that shares your calling

At MultiCare, you're more than just a job title - you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.


FTE: 1.0_, Shift: D_, Schedule: _day


Position Summary

The Eligibility Coordinator is responsible for receiving and tracking referrals. After receipt of referral(s), the Eligibility Coordinator will evaluate PACE eligibility, including financial eligibility and communicate eligible referral with the Enrollment Specialist. The Eligibility Coordinator evaluates eligibility using identified resources including Medicaid eligibility processing, other community resources, and DSHS eligibility (financial and review of CARE assessment). This position is responsible for communicating marketing materials to local referral sources and review PACE eligibility and program standards. This position requires interpretation of information relating to regulatory and statutory requirements, ability to adjudicate insurance benefits and coverage and interpret viability of financial assistance programs. Independent decisions are required within the scope of responsibilities, which impact sources of revenue. Internal contacts include Enrollment Specialist, Executive Director, Clinical Director and the PACE team. External contacts include patients/patients' families, referral sources including physicians and staff in offices, insurance companies, and state and local agencies.


Requirements

  • Minimum one (1) year in health care related eligibility, collection, financial counseling or billing experience required
  • Marketing experience preferred
  • minimum one (1) year experience working with a frail or elderly population preferred
  • Completion of a medical terminology course or proficiency preferred
  • Demonstrated competency with spreadsheet management and report development required
  • Minimum one (1) year in health care related eligibility, collection, financial counseling or billing experience required
  • Marketing experience preferred
  • minimum one (1) year experience working with a frail or elderly population preferred
  • Completion of a medical terminology course or proficiency preferred
  • Demonstrated competency with spreadsheet management and report development required


Why MultiCare?


Rooted in the local community

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.


Growth and education

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.


Well-being and support

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.


Living our values

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.


Belonging for all

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.


Pacific Northwest lifestyle

Work and live where natural beauty, adventure and strong community connections are part of everyday life.


Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $21.68 - $31.20 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.


Associated benefit information can be viewed

here

.

MultiCare is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, national origin, sexual orientation, gender identity, disability or veteran status. EOE/AA/M/F/D/V


About the Company

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MultiCare Health System