Job Description: We are seeking a detail-oriented and dedicated Insurance Verification Specialist to join our team. The successful candidate will be responsible for:
Verifying insurance benefits and eligibility on all new referrals.
Performing monthly verification of DSHS coverage for long-term Medicaid patients and weekly verification for capitated Hospice patients.
Assisting in the evaluation of documentation to determine if patients meet criteria for therapy coverage.
Gathering necessary information to ensure accuracy and completeness of forms and reports; working with management and staff to correct omissions, errors, and office systems problems.
Creating Cost Disclosure/Advance Beneficiary Notices for Medicare patients and tracking signed forms.
Generating benefits letters to inform patients/responsible parties of financial responsibility and sending them to patients.
Entering new patient and physician data into the software database, including new therapy sessions for existing patients; entering ICD-9/ICD-10 codes as needed.
Obtaining PCP referral requests and following up.
Documenting appropriately in patient electronic records regarding payer/billing information.
Obtaining initial pre-authorizations as required by insurance plans.
Verifying physician licensure on an ongoing basis.
Supporting and incorporating the Sisters of Providence Health System Mission into daily activities.
Participating in QA/QI.
Performing Medicare Part D eligibility and drug formulary checks.
Preparing hospital charity agreements and sending and tracking patient financial assistance applications.
Additional Skills & Qualifications:
One year+ reimbursement experience.
One year+ verification/insurance benefits experience.
Ability to type quickly and accurately.
Effective communication skills, both written and oral.
General computer knowledge and skills, including word processing, spreadsheets, and database software.
Knowledge of office equipment.
Knowledge of medical terminology.
Strong customer service skills.
Knowledge of medical reimbursement.
High school diploma/GED required.
If you are a motivated individual with a passion for healthcare and a keen eye for detail, we encourage you to apply for this exciting opportunity.We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected classification. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. This temporary role may be eligible for the following: Medical, Dental & Vision 401(k)/Roth Basic/Supplemental Life & AD&D Short and long-term disability HSA & DCFSA Transportation benefits Employee Assistance Program Company Paid Time off or State Sick Leave #prioritywest Pay and BenefitsThe pay range for this position is $22.00 - $25.00Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)Workplace TypeThis is a fully onsite position in Spokane,WA.Application DeadlineThis position will be accepting applications until Jan 17, 2025.About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
