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WWC Physicians PC Business Services - Referral & Pre-Auth. Coordinator #A5-08222024 in Walla Walla, Washington

The Walla Walla Clinic offers the following benefits:

·         Insurances: Employees consistently working 30 or more hours per week are eligible for medical, dental, vision, hospital confinement, life, disability insurances after satisfying the waiting period.

·         Retirement: Voluntary contributions to the 401k and/or Roth plans after six-month waiting period. The Clinic matches up to 5% of eligible salary after one year of employment and a minimum 1,000 hours of service. A discretionary annual profit-sharing contribution is also available for eligible employees.

·         Time Off Benefit:

Paid Time Off (PTO): Full-time and part-time (part-time is prorated) employees will begin accruing upon hire date. Waiting period of 90 days. PTO amounts for 40-hour employees are 23 days (184 hours). Maximum annual carryover of 240 hours.

WA Paid Sick Leave: All employees accrue one hour of paid sick leave for every 40 hours worked. Waiting period of 90 days. Maximum rollover is 40 hours per year.

Extended Sick Time (EST): Full-time and part-time (part-time is prorated) employees will begin accruing upon hire date. Waiting period of 90 days.  EST hours may be used for illness or injury after an absence of three consecutive working days. WA Paid Sick Leave and/or PTO, if available, will be used during this waiting period. Maximum accumulation of 480 hours.

·         Bonuses: The Clinic typically offers an annual bonus based on hours worked.

 

Job Description (Applicants must apply online and include a resume for each position. Employees must complete a transfer form for each position)

 

Role and Responsibilities:

1.

Protect confidentiality of all patient protected health information.

2.

Record all patient referrals in Touchworks and Allscripts PM databases as appropriate.

3.

Verify patients' insurance eligibility and benefit levels.

4.

Obtain and record surgical, advanced imaging, medication, and other pre-authorizations.

5.

Calculate estimates of out-of-pocket expenses and communicate with patients.

6.

Review and update pending referrals, and inform nurse and patient of status as appropriate.

7.

Record your work in our database, and scan related documents into medical records.

8.

Communicate status and updates of authorizations to patients effectively.

 

9.

*     *

Audit charges prior to data entry to help assure we are using correct procedure, diagnosis, and modifier code combinations and other billing requirements.

10.

Data entry of charges including correct entry of state supplied vaccines.

11.

Handle daily cash deposit and reconciliation.

12.

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