MultiCare
Health Care
PNWPACEEligibilityCoordinator
Neural analysis suggests this role is
optimal for Mid+ candidates.
“PNW PACE Eligibility Coordinator at MultiCare. Skills: PACE eligibility evaluation, financial eligibility assessment, regulatory and statutory requirements interpretation, insurance benefits adjudication. receiving and tracking referrals. evaluate PACE eligibility, including financial eligibility”
What You'll Achieve.
impact sources of revenue
Industry & Context.
Independent decisions are required within the scope of responsibilities
What They're Looking For.
Must Have
Minimum one (1) year in health care related eligibility, collection, financial counseling or billing experience required, Demonstrated competency with spreadsheet management and report development required
Nice to Have
Marketing experience preferred, minimum one (1) year experience working with a frail or elderly population preferred, Completion of a medical terminology course or proficiency preferred
What You'll Do.
receiving and tracking referrals
evaluate PACE eligibility
including financial eligibility
communicate eligible referral with the Enrollment Specialist
evaluates eligibility using identified resources including Medicaid eligibility processing
other community resources
and DSHS eligibility (financial and review of CARE assessment)
communicating marketing materials to local referral sources
review PACE eligibility and program standards
How You'll Work.
Team & Collaboration
Internal contacts include Enrollment Specialist, Executive Director, Clinical Director and the PACE team.; External contacts include patients/patients’ families, referral sources including physicians and staff in offices, insurance companies, and state and local agencies.
Communication Scope
communicate eligible referral; communicating marketing materials
Full Job Description
**Join a team that shares your calling** At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home. **FTE:** 1.0_, **Shift:** D_, **Schedule:** _day **Position Summary** The Eligibility Coordinator is responsible for receiving and tracking referrals. After receipt of referral(s), the Eligibility Coordinator will evaluate PACE eligibility, including financial eligibility and communicate eligible referral with the Enrollment Specialist. The Eligibility Coordinator evaluates eligibility using identified resources including Medicaid eligibility processing, other community resources, and DSHS eligibility (financial and review of CARE assessment). This position is responsible for communicating marketing materials to local referral sources and review PACE eligibility and program standards. This position requires interpretation of information relating to regulatory and statutory requirements, ability to adjudicate insurance benefits and coverage and interpret viability of financial assistance programs. Independent decisions are required within the scope of responsibilities, which impact sources of revenue. Internal contacts include Enrollment Specialist, Executive Director, Clinical Director and the PACE team. External contacts include patients/patients’ families, referral sources including physicians and staff in offices, insurance companies, and state and local agencies. **Requirements** * Minimum one (1) year in health care related eligibility, collection, financial counseling or billing experience required * Marketing experience preferred * minimum one (1) year experience working with a frail or elderly population preferred * Completion of a medical terminology cour
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