Patient Services Specialist 3- Harborview Kidney Clinic

Job Description

Harborview Medical Center - Kidney Clinic has an outstanding opportunity for a Patient Services Specialist 3.

WORK SCHEDULE

• Full-time (100% FTE)

• Day Shift

• Mondays- Fridays

POSITION HIGHLIGHTS

• Conveniently located near public transportation

• Make a difference for the patients and employees we serve

• Opportunity to provide career growth

PRIMARY JOB RESPONSIBILITIES

• Maintain/develop an efficient and effective workflow for the referral process to address both internal and external referrals, as well as communicating with referring providers

• Interface directly with the FACT team and clinic staff to rapidly address any outstanding denials or appeals

• Document the steps in the process

• Develop processes for specific subspecialty referrals with physicians

• Oversee referral process and ensure compliance with process

• Implement and maintain a database for tracking referrals using EPIC

• Process referrals according to the defined workflow

• Ensure referrals have had clinical triage with RNs and MDs/APPs, to identify urgency status of referral and to inform appropriate scheduling.

• Ensure demographic data is collected and necessary authorizations are obtained

• Send internal referrals to financial services counselors for pre-authorization of services

• Ensure that the referring provider is sent all documentation pertaining to the referral

• Serve as the primary contact for new patients being appointed to the Men’s Health Center as well as referring providers

• Contact referring providers to inform them of the referral process and when their patients can expect to receive a response regarding their referrals.

• Maintain the database of referrals in EPIC

• Confirm that any managed plan insurance plans (ex: Kaiser) have a PCP referral on file

• Share status updates on denials/appeals with the FACT team in a timely manner

REQUIREMENTS

• High School graduation or equivalent AND two years Patient Services Specialist 2 experience

• Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration

ABOUT HARBORVIEW MEDICAL CENTER

As the region's only Level I Trauma and verified burn center, Harborview Medical Center is a comprehensive healthcare facility owned by King County and operated by UW Medicine.  It is dedicated to providing specialized care for a broad spectrum of patients from throughout the Pacific Northwest, including the most vulnerable residents of King County.  It provides exemplary patient care in leading-edge centers of emphasis, including emergency medicine, trauma and burn care, neurosciences, ophthalmology, vascular surgery, HIV/AIDS, rehabilitation, mental health and substance abuse care.

Harborview employees are committed to the vital role the institution plays in the immediate community, as well as the entire Northwest region. 

Challenge. Collaboration. Compassion.

ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER

UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.

All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.

Become part of our team. Join our mission to make life healthier for everyone in our community. 

Compensation, Benefits and Position Details

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About the UW 

Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.  

UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty. 

Our Commitment 

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or [email protected]. 

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.