PUYALLUP TRIBAL HEALTH AUTHORITY, located in Tacoma, Washington is seeking a full-time experienced Medical Assistant - Referral Services Technician.

“It is the mission of the Puyallup Tribal Health Authority to provide quality healthcare and promote wellness in a culturally appropriate manner.”

We offer an outstanding workplace, competitive market based salary, and benefits packages including:

• Monday – Friday schedule
• Medical/Dental/Vision benefits – monthly premiums paid 100% for employees
• 18+ annual paid holidays
• Generous paid sick and vacation accruals
• 401(k) with annual profit sharing
• Life & AD&D insurance coverage
• PTHA is an approved loan repayment site for various programs
• Employee Assistance Program
• Excellent work/home life balance

GENERAL FUNCTION: Provides complete referral processing services for patients and providers in a timely, accurate and professional manner, for all referral types, including insurance authorizations.

ESSENTIAL JOB FUNCTIONS:

• Accurately process and/or task (order) patient referrals when received
• Provide excellent customer service at all times including, assisting PTHA staff & patients, answer
• incoming calls, document phone conversations and other requests from patients and providers in EHR
• system, and return messages within one business day
• Verify and explain patient eligibility and financial responsibility for Medical/Dental benefits
• Work with out of area Puyallup Tribal Members to find available medical/dental services in their area and work with provider offices on obtaining necessary information for acceptance of services
• Collect required NPI & Tax ID numbers and required billing information for “new“ providers/vendors and submit required paperwork to appropriate department for processing, within 1 business day of request
• Collaboratively work with all PTHA departments and outside providers on referral processing, communicate and troubleshoot approvals/denials in a timely manner and coordinate approved patient care and treatment
• Identify uninsured patients with ongoing, serious, chronic conditions and connect them with resources to apply for alternate coverage (i.e. Medicaid, Disability)
• Provide training for new staff and assist with system upgrade testing and implementation of process changes as new workflows are developed

• High School Diploma or GED
• Current WA State Medical Assistant certification
• Minimum two (2) years' experience within the last four (4) years as a Medical Assistant in a family medicine/clinic setting working directly with insurance, referrals, and with providers/patients
• Experience pre-authorizing clinical services with private and state insurances