Scheduled hours Full Time Day position 80 hours

Job Summary:

Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims and determine patient coverage/responsibility for services and testing and implementation of new plan business. Expedites the administrative requirement for patient referrals, dealing directly with health plans. Making decisions and authorizes risk plan referrals, utilizing guidelines.

Who are we?

• Newport Hospital and Health Services is located in Newport, WA on the Washington-Idaho border. We are an independent rural healthcare provider.
• Newport Hospital and Health Services consists of:
  • 24 bed Rural Community Hospital - Trauma Level IV
  • 15 providers Rural Health Clinic
  • 72 – bed, high –level care, Advanced Assisted Living Facility
  • 42 – apartment; low-moderate care level Assisted Living Facility
  • In 2021 we celebrated our 100th year in operation servicing the local members of Newport, WA and the surrounding communities.

Education Background and Experience

Professional Requirements

• Maintain regulatory requirements.
• Report to work on time and as scheduled; complete work within designated timelines.
• Demonstrates the ability to adhere to the mission, ethics and goals of the District.
• Demonstrates the ability to communicate with patients, guests and staff in a courteous, respectful and helpful manner.

Essential Job Functions

• Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided.
• Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
• Creates documentation required to service the patient per policy and payer guidelines.
• Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
• Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
• Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service.

In accordance with center for Medicare and Medicaid Services, as a condition of employment, you must be fully vaccinated or have an approved medical/religious accommodation by time of hire. People are considered fully vaccinated two weeks after receiving their last shot in a vaccine series. Full vaccination status or an approved accommodation will be verified prior to your first day of work. Should you not be fully vaccinated or have an approved medical/religious accommodation you will not be able to start employment with NHHS. Please contact HR at 509-447-6320 for any vaccination verification questions or to request an accommodation application.

The above job summary, professional requirements and essential job functions are intended to describe the nature and level of work being performed. It is not an exhaustive list of all responsibilities, duties, and skills required of personnel for this job classification.

Successful candidates typically begin between the beginning and midpoint of the compensation range ($18.50 – $21.79/hour) dependent on qualifications/experience and receive compensation increment increases annually.

Qualified employees of Newport Hospital & Health Services are offered the following benefits:

• 
  We offer competitive wages.
• We give back to our community – snack bags for local schools and assist with Meals on Wheels for our elderly.
• We work where we play - Three major ski resorts are located within one hour of Newport, numerous lakes, rivers, and hiking trails. Truly an abundance of outdoor recreation.
  • https://pocedc.org/
  • https://newporthospitalandhealth.org/gallery/
• Our nurse development strategy is competency and confidence focused. We employ nurse techs and foster growth for new graduates including specialty areas.
• We offer training on the job to new graduates
• All employees are given the opportunity to learn and advance within the organization.
• We offer strong family-like support system
• Collaboration and team building is supported and developed using teaching and practice of the 7 Habits of Highly Effective People.

Newport Hospital & Health Services (NHHS) is committed to a diverse and inclusive workplace. NHHS is an equal opportunity employer and does not discriminate on the basis of race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

NHHS employs only U.S. citizens and lawfully authorized non-U.S. citizens. All new employees must show employment eligibility verification as required by the U.S. Citizenship and Immigration Services.

NHHS is committed to providing access and reasonable accommodation in its services, programs, activities, education and employment for individuals with disabilities. To request disability accommodation in the application process, contact Human Resources at 509-447-6320.