Employer: Multicare Yakima Memorial Hospital
The Insurance Coordinator is responsible for ensuring registration information accurately reflects clinical order, submitting clinical information to payer in timely manner, and utilization requirements.
Reviews registration status and ensures this accurately reflects the clinical order placed by the Provider.
Receives requests and submits payer specific documents required for accurate level of care for billing purposes.
Ascertains accurate and timely payer responses for payment and coordinates clinical review with the Utilization Management team for any discrepancies.
Maintains competency on all computer systems.
Effectively handles negative situations appropriately and with effective follow-up.
Provides knowledgeable and professional communication with all contacts.
Answers the telephone according to department standards and directs calls appropriately.
May cross-train in other areas within the department when necessary.
Works closely with Patient Access staff regarding notification to payers and proactively submitting clinical data required for review and appropriate payment.
Effectively communicates with Physicians or other providers regarding missing, incomplete or inaccurate documentation.
Works closely with Utilization Management RN’s regarding appropriate level of care.
Contacts outside Physicians, providers or clinics regarding any missing documentation required by the payer in a timely manner.
Collaborates with the Physician Advisor regarding up front denials from payers to facilitate peer to peer review.
QUALIFICATIONS AND REQUIREMENTS
Education: High school diploma or GED equivalent required.
Experience: Knowledge of medical terminology required. Previous experience in medical billing or payer coverage preferred.
Yakima Valley Memorial (YVM) is primarily a 256-bed acute-care, not-for-profit community hospital that has served Central Washington's Yakima Valley for 70 years. YVM extends beyond the existence of a community hospital, including a multispecialty team of more than 200 physicians and 20+ primary care and specialty care locations. Specialty care services include cardiac care, a continuum of cancer care, hospice care, and advanced services for children with special health care needs.
As the region’s leading health care provider and Yakima’s largest employer, we believe that by improving health, we can transform Yakima! Our vision at YVM is creating healthy communities one person at a time. With such an important vision, our diverse workforce bands together to demonstrate our values of Respect, Accountability, Teamwork, Stewardship, and Innovation for everyone who walks through our doors, patients and coworkers alike.
We believe that the way we treat our patients, and our fellow employees is a vital part of the job we do every day. Together, we can create loyal, enduring partnerships with our patients, our community, and one another; while staying focused on improving the quality of life for our patients and the overall quality of the organization. At Yakima Valley Memorial, we listen to staff ideas and empower them to innovate and create changes.
At YVM, we are committed to establishing a diverse and encouraging workplace that supports all employees, appreciating their unique backgrounds and experiences. We believe our culture enables us to meet our mission and values while serving patients, current employees, and any prospective employees in the Yakima Valley. We hope you join us in our passion for delivering remarkable patient care and on what’s most important to us – making you better so our patients get better.
WHAT WE OFFER:
At YVM, we know the best care is provided by employees who are well-supported. We recognize that our staff is our most valuable resource! We are proud to offer all employees an excellent Total Rewards Package that is well-rounded in the elements that matter to you and your family. Our goal is to attract, retain, and motivate high-quality staff members to continue contributing to patient care locally in the Yakima Valley. These offerings include:
We offer comprehensive medical, dental and vision plans to meet the needs of you and your family. Benefits include:
Offerings of two (2) medical plans covering a range of providers and services within the Yakima Valley and beyond
Saving and spending accounts to set money aside tax-free for health care and dependent care expenses, including a Health Savings Plan (HSA) that ranks above all Health Care 500+ and Fortune Best Benchmarks with a generous employer contribution
Access to virtual care
Variety of wellbeing programs, resources and initiatives
Retirement Plans: We offer pre-tax and Roth voluntary 401k programs for employees to contribute into. In addition to your contributions, after one year of employment we offer a generous double match which consists of the following:
We will match on your 401k deferrals, assuming a minimum contribution.
We will contribute a flat percentage of your eligible income into your 401k account. All contributions are 100% employee vested immediately.
A competitive compensation program: A market-driven compensation program that rewards employees for their experience -- with potential opportunities for degree and certification pay, recognizing employees for their skills and initiative to grow. Opportunities are offered for performance-based bonuses to reward the dedication and innovation of our staff and leaders.
Additional perks that inspire our employees to thrive, grow, and be well, including:
A generous Employee Assistance Program
On-Site Employee Health Clinic
Fitness and wellness Partnerships
A Tuition reimbursement program
At YVM, we:
Improve the patient experience of care, the health of our community, and the work life of our team members, all while reducing the cost of health care
Provide culturally compassionate healthcare to all patients
Drive toward better healthcare outcomes and experiences
Aim to be proactive and agile as the healthcare industry changes
Our core purpose is to inspire people to thrive! Please join us as we create a healthy Yakima, one person at a time.
“Yakima Valley Memorial provides reasonable accommodations to assist qualified individuals in order to perform the essential duties/requirements their job requires. The description is intended to provide only basic guidelines for meeting job requirements and serves as merely a summary rather than a complete listing of duties. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve. This job description does not constitute a contract as employment is at will.”
Location: Yakima, WA
Application Method: Apply online https://pm.healthcaresource.com/CS/yakimavalley/#/job/18825
Base Pay: $17.68 - $24.75/hr
2011 W. Washington Ave
Yakima, WA 98903