Patient Financial Services Specialist (50249)

Quinault Community Health & Quinault Wellness Cent•Aberdeen, WA

3d•Onsite

About The Position

Are you passionate about helping people overcome financial barriers to healthcare? Do you excel at problem solving, building relationships, and guiding others through complex systems with empathy and professionalism? If so, we invite you to join our team as a Patient Financial Service Specialist, a rewarding opportunity to make a meaningful impact every single day. In this role, you will be more than a financial services professional, you will be an advocate, educator, and trusted resource for patients and families navigating healthcare coverage and financial assistance options. Your work will directly support healthier individuals, stronger families, and a more connected community. Nestled on the breathtaking Olympia Peninsula, our community offers an unmatched quality of life for those who appreciate nature, adventure, and a slower pace outside the city rush. From rugged ocean beaches and lush rain forests to scenic lakes, rivers, and mountains, outdoor recreation is everywhere you turn. Whether you enjoy hiking, camping fishing, hunting, kayaking, wildlife viewing, or simply exploring the beauty of the Pacific Northwest, this is a place where work-life balance truly exists. We believe in taking care of the people who care for our community. Full-time employees enjoy a comprehensive and competitive benefits package, including: Medical, Prescription, Vision, and Dental coverage 100% employer-paid premiums for employee only plans Optional dependent coverage available at an additional cost 100% employer-paid Short-Term and Long-Term Disability plans Generous paid leave program including: 14 paid holidays, Paid Annual Leave, and Paid Sick leave As a Patient Financial Service Specialist, you will serve as a critical support system for patients and families seeking access to healthcare services and financial assistance programs. You will help individuals understand their coverage options, complete insurance enrollments and recertifications, and connect with resources that reduce financial hardship and improve access to care.

Requirements

Minimum 2 years experience in medical billing, patient financial services, Medicaid eligibility, or healthcare customer service
Minimum 2 years experience and ability to demonstrate proficiency in the use of electronic medical records (EHR) systems
Active Washington State Driver’s License and have the ability to be added to our insurance plan without restrictions.
Minimum 1 year experience reviewing and processing patient personal financial documents and interpreting applicable laws, rules, and regulations
Ability to explain complex financial and insurance information in a clear, compassionate, and culturally sensitive manner
High School diploma or GED equivalent required
Must have the ability to become a certified Tribal Assister within 1 year of hire
Ability to explain charges, services, and insurance coverage details to patients or their representatives
Must be proficient in the use of a personal computer, including Microsoft Office programs (i.e. word, excel)
Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, transcription, designing forms, and other office procedures and terminology
Excellent verbal and written communication skills to effectively explain financial information to patients
Knowledge and adherence to state (RCW, WAC) and federal confidentiality regulations (42 CFR part 2).
Applicants must always conduct themself ethically and professionally
Knowledge of HIPAA and PHI requirements
Must pass criminal background investigation, reference inquiry, and pre-employment drug screen

Nice To Haves

Associate’s degree in Business, Finance, Healthcare Administration, or a related field preferred
Experience working with tribal communities preferred

Responsibilities

Interviews patients to identify sources of payment on all accounts including possible eligibility for Federal, State, and Tribal assistance including but not limited to Medicare, Medicaid, Basic Health, Commercial Insurance, and Private Pay
Assist patients in the completion of applications for various health coverage programs
Educates patients regarding available options available to them based on their individual circumstances
Interprets laws and regulations of Federal, State and Tribal health coverage programs and educate patients regarding eligibility requirements and their rights and obligations in receiving financial services from these programs
Makes appropriate referrals to agencies such as the Social Security Administration, private insurance companies and the Employment and Human Services Department to determine patients' eligibility for medical coverage and assists patients in obtaining and submitting necessary Financial documents within time limits specified by the agency
Interviews patients to obtain financial information, secure payments and arrange payment plans
Follows up on unpaid accounts by communicating with the patient options available to them
Maintain accurate patient financial records and documentation
Provide support for patients needing financial assistance
Assist patients in understanding their financial responsibilities and payment options
Verifies insurance coverage and eligibility on an individual basis
Collects, verifies, and enters into the billing system all insurance and third-party resources for payment.
Assists and informs clients regarding the established treatment process, maintaining confidentiality and ensuring full compliance with all HIPAA and PHI regulations
Performs other duties as assigned
Adheres to all QCH and QWC Policies and subscribes to the mission, vision, and values of QCH and QWC