Insurance Verification Authorization Specialist

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.

FTE: 1.0, Shift: Day, Schedule: 8 hour shifts, days

Position Summary

The Authorization/Insurance Verification Specialist is responsible for managing authorizations, insurance and referrals for Multicare Ambulatory providers. Responsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, determines medical necessity and identifies any coverage concerns and works with providers and billing to resolve authorization denials. Other responsibilities include completing pre-registration as required by patient type and anticipated service. Incumbents work with staff and management throughout the revenue cycle, clinical teams, providers as well as representatives from insurance carriers and government agencies.

Requirements

• Two (2) years of pre-authorization or referral coordinator experience
• OR two (2) years of experience processing incoming claims or pre-authorization requests for an insurance payor
• OR two (2) years insurance billing, admitting, or registration experience in a hospital or medical office
• OR graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare
• Two (2) years’ experience in dealing with the public in a customer service role
• Medical Terminology proficiency by examination
• One (1) year of post high school business or college course work preferred
• National Association of Healthcare Access Management Certification (NAHAM) preferred

Our Values

As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.

Why MultiCare?

• Belonging: We work to create a true sense of belonging for all our caregivers
• Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
• Market leadership: Washington state's largest community-based, locally governed health system
• Employee-centric: Named Forbes “America’s Best Employers by State” in 2023
• Technology: "Most Wired" health care system 15 years in a row
• Leading research: MultiCare …