Patient Service Representative

A Division of one of the Top Healthcare Providers in the Pacific Northwest is interested in hiring a Patient Authorization & Referral Representative to their team in the Spokane Valley Washington area!

Description

• Verifies insurance benefits and eligibility on all new referrals.
• Performs monthly verification of DSHS coverage for long term Medicaid patients and weekly verification for capitated Hospice patients.
• Assist in evaluation of documentation to determine if patient meets criteria for coverage of therapy.
• Gather necessary information to assure accuracy and completeness of forms and reports; Work with management and staff to correct omissions, errors, office systems problems, etc.
• Responsible for creating Cost Disclosure / Advance beneficiary notices for Medicare patients and tracking for signed form.
• Responsible for generating benefits letter to inform patient / responsible party of financial responsibility and sending to patient.
• Responsible for entering new patient and physician date into the software database, including new therapy sessions on existing patients; Enter ICD-9 / ICD-10 codes as needed.
• Obtain PCP referral request and follow-up.
• Document appropriately in patient electronic record regarding payer / billing information.
• Obtain initial pre-authorizations as required by insurance plans.
• Verification of physician licensure on an ongoing basis.
• Support and incorporate Sisters of Providence Health System Mission into daily activities.
• Participate in QA / QI.
• Responsible for performing Medicare Part D eligibility and drug formulary checks.
• Prepare hospital charity agreements and send and track patient financial assistance applications.

Skills & Qualifications

We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected

classification. Eligibility requirements apply to some benefits

and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. This temporary role may be eligible for the following :

Job Type & Location

This is a Contract to Hire position based out of Spokane Valley, WA.

Pay and Benefits

The pay range for this position is $22.00 - $22.00 / hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following :

Workplace Type

This is a fully onsite position in Spokane Valley,WA.

Application Deadline

This position is anticipated to close on Nov 20, 2025.

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About TEKsystems :

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.