Referral Specialist - Neurosurgical Care

EvergreenHealth

Kirkland (WA)

In loco

USD 33.000 - 52.000

Tempo pieno

9 giorni fa

Generatore di candidature

Distinguiti per questa posizione — genera un curriculum e una lettera di presentazione personalizzati in circa un minuto.

Supera i filtri ATS

Vantaggi offerti da questo lavoro

Medical insurance

Vision insurance

Dental insurance

Tuition assistance

Paid time off

Retirement plans

Commuter benefits

Free parking

Descrizione del lavoro

EvergreenHealth in Kirkland, WA is seeking a Patient Service Representative to coordinate referrals from primary care providers to specialists or specialty services, and to liaise with health plans. Requires daily interaction with patients, staff, providers and insurance companies.

You will assign ICD-10 and CPT codes, communicate managed care requirements, and collaborate with Utilization Management staff in a fast-paced healthcare setting.

Competenze

Associate degree or equivalent combination of education and experience.
3 years of experience in a healthcare insurance or related medical office setting.
Working knowledge of ICD-10 and CPT codes.
Excellent communication skills with tact and poise to deal with patients and staff.
Knowledge of medical records confidentiality.
Ability to relate well with patients, physicians and hospital staff.

Mansioni

Coordinate patient referrals from PCP to specialists with health plans.
Assign appropriate ICD-10 and CPT codes to referrals.
Serve as the point person for managed care referral information for patients and staff.
Disseminate key managed care contractual information and system processes.
Identify and communicate changes in insurance requirements to leaders and team.
Performs other duties as assigned

Conoscenze

Excellent communication

Professional demeanor

Interpersonal skills

Confidentiality awareness

Formazione

Associate degree or equivalent

Descrizione del lavoro

Description

Wage Range: $23.72 - $37.95 per hour.

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary

Responsible for the coordination and administrative requirements for patient referral from a primary care provider (PCP) to specialists or specialty services, dealing directly with health plans. Makes decisions and authorizes risk planning referrals, utilizing department and organizational guidelines. Requires daily interaction with patients, staff, healthcare providers and insurance companies.

Primary Duties

Demonstrates mastery of all Patient Service Representative duties.
Processes patient referrals from PCP to specialist, working directly with health plans, troubleshooting when necessary.
Serves as a point person coordinating information regarding managed care referrals for patients, providers, case managers and other Utilization Management staff.
Assigns proper ICD-10 and CPT code(s) to patient referrals.
Responsible for communication and dissemination of key managed care contractual information and system processes to patients and staff.
Identifies and communicates changes in insurance requirements, provider changes and guidelines to leaders and team members.
Performs other duties as assigned

License, Certification, Education or Experience

Required for the position

Associate degree or equivalent combination of education and experience
3 years of experience in a healthcare insurance or related medical office setting
Working knowledge of ICD-10 and CPT codes
Ability to be flexible and relate well with others in a professional and pleasant manner
Knowledge of medical records confidentiality
Excellent communication skills with a high degree of tact and poise to deal effectively with patients, physicians, and hospital staff members

Desired for the position

Medical Terminology, medical billing, and computer skills
Working knowledge of insurances, Medicare, DSHS, Labor and Industries, and other third-party insurances

Benefit Information

Choices that care for you and your family

At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.