Patient Services Specialist 3- Harborview Kidney Clinic

University of Washington Medical Center•Seattle, WA

About The Position

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

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