Roles & Responsibilities:
1. Protect confidentiality of all patient protected health information.
2. Verify patients' insurance eligibility and benefit levels.
3. Obtain and record surgical, advanced imaging, medication, and other pre-authorizations from initiation to approval.
4. Ensure referrals and authorizations meet payer, provider, and regulatory requirements.
5. Coordinate with providers to obtain clinical documentation required for approvals.
6. Calculate estimates of out-of-pocket expenses and communicate with patients.
7. Review and update pending referrals and inform nurse and patient of status as appropriate.
8. Record your work in our database and scan related documents into medical records.
9. Communicate status and updates of authorizations to patients effectively.
10. Previous experience in a health care environment is a plus.
Qualifications and Education Requirements:
High school diploma or equivalent.
Friendly, courteous, professional behavior at all times.
Provide excellent service to providers, co-workers and patients.
Ability to work well independently and as a team.
Supervisory Responsibilities: None.
Physical Demands: Standing, sitting, walking, reaching.
Position Type/Expected Hours to Work: Monday - Friday 8 a.m. to 5 p.m.
Other Duties: As assigned.
WWC Physicians PC offers the following benefits:
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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.
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Retirement: Voluntary contributions to the 401k and/or Roth plans after first of the quarter following hire date. WWC Physicians PC matches up to 5% of eligible salary after one year of employment and a minimum 1,000 hours of service.
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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.
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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.
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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: WWC Physicians PC typically offers an annual bonus based on hours worked.
