Aug 02, 2021

Patient Financial Specialist - Anticoagulation Therapy Services

  • Swedish
  • Seattle, WA, USA
Full-time

Job Description

Description:

Swedish Medical Center is looking for a Patient Financial Specialist (1.0 FTE, Days) for Anticoagulation and Pharmacotherapy Clinic at Swedish First Hill in Seattle, Washington.

This position is in constant contact with patients, physicians, clinical support staff, pharmacy, and third party payers. The Patient Financial Specialists are responsible for coordinating all aspects of the patient’s financial roadmap.

In this position you will:

  • Be responsible for insurance and eligibility verifications and assessment of financial requirements of recommended treatments, including prior authorization and appeals. This includes working with insurance company medical directors and case managers to appeal denials and communicate the appeal process to internal providers and patients.
  • Review with the patient on insurance benefits, co-payments, and out of pocket expenses.
  • Act as a professional liaison with patients, families, other departments, and third party payers.

This individual performs responsibilities in a timely and accurate manner. This individual will partner in the orientation and training of new staff. These responsibilities are often carried out simultaneously with frequent interruption. In addition, this job may include other special project assignments as directed. All duties accomplished with an exceptional customer service approach (AIDET Level II) to optimize the Pharmacotherapy Clinic patient’s experience.

Qualifications:

Required qualifications for this position include:

  • Associate's Degree in Accounting, business administration, or related field. Or equivalent educ/experience
  • Two (2) years prior background in a healthcare setting of billing, financial counseling, or financial advocacy with proficiency in medical terminology
  • Must have knowledge of the insurance industry, reimbursement, and pre-certification.
  • Knowledge of Medicare-Part B (CMS) policy on billing, reimbursement and other third party reimbursement is required.
  • Demonstrated knowledge of federal and state regulations, insurance policies and procedures.
  • Must have excellent verbal and written communication skills.
  • Must be able to communicate providing verbal feedback in a professional manner.
  • Must have the ability to empathize with patients and their families and maintain difficult conversations as needed with regards to financial matters.
  • Must be able to follow and understand instructions, and react favorably in all work situations.
  • Must possess strong interpersonal skills and be mentally adaptable and flexible in dealing with a variety of people at various levels within and outside of the Swedish Health System (SHS) and the Swedish Cancer Institute (SCI).
  • Must have excellent analytical and reconciliation skills.
  • Possesses competency in computer skills including electronic medical record (EMR), patient data entry, word processing, and E-mail systems.
  • Demonstrated flexibility and organization to prioritize and complete multiple tasks accurately.
  • Demonstrated oral and written communication skills.
  • Ability to operate basic office equipment, such as FAX machines, copier, and telephone systems.

Preferred qualifications for this position include:

  • Bachelor's Degree in Accounting, business administration, or related field

About the First Hill Campus.

The 697-bed tertiary-care center on the Swedish/First Hill campus is the flagship of the Swedish health-care system. Swedish/First Hill has one of the most active and advanced birthing programs in Washington state and houses a Level III neonatal intensive-care unit. More surgeries are performed each year at Swedish/First Hill than at any other facility in the region; volumes include more total joint replacements than any other medical center in the state.

We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit

https://swedish.jobs/why-swedish/#benefits-rewards

Our Mission

Our Mission is to improve the health and well-being of each person we serve.

Our Vision is Health for a Better World.

About Us

Swedish is the largest not-for-profit health care system in the greater Seattle area. It is comprised of five hospital campuses (First Hill, Cherry Hill, Ballard, Edmonds and Issaquah); emergency rooms and specialty center in Redmond (East King County) and the Mill Creek area in Everett; and Swedish Medical Group, a network of more than 128 primary care and specialty care locations throughout the greater Puget Sound area. Swedish employs nearly 13,000 caregivers (all employees), including nearly 1,400 providers. Whether through physician clinics, education, research and innovation or other outreach, we're committed to caring for the people in our region and beyond. Swedish is proud to be an Equal Opportunity Employer Swedish does not discriminate on the basis of race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: Washington-Seattle

Work Locations: First Hill Main Bldg (WA145) 747 Broadway Seattle, 98122

Req ID: 302845