Lead Patient Financial Counselor - Clinical Program Services

Job description

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 ava...