Insurance Verification Authorization Specialist
Working Virtually, United States
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: Monday - Friday 0830 -1700
Position Summary
The Pre-Service IV/Auth Specialist completes pre-registrations by patient type and anticipated healthcare service by verifing insurance information (eligibility and benefits), validating referrals and prior authroizations, submitting and monitoring pre-authorizations while meeting daily productively and quality standards. The incumbent provides price estimates for anticipated healthcare services; identifies and secures financial resources for healthcare services provided; communicates Advance Beneficiary Notice (ABN) issues to referring providers; works with referring providers to resolve pre-service authorization denials and serves as a functional expert for peers across throughout Patient Access.Requirements
- One (1) year of post high school business or college course work preferred
- National Association of Healthcare Access Management Certification preferred
- Minimum one (1) year experience in dealing with the public in a customer service role preferred
- Medical Terminology proficiency by exam AND one of the following:
- One (1) year admitting, billing, or registration experience in a health care setting
- OR Graduate of a health vocational program such as Medical Assistance, Medical Billing & Insurance, or Medical General
- OR AA Degree and six months healthcare experience
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 employees
- 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” for several years running
- Technology: "Most Wired" health care system 15 years in a row
- Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
- Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn
Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $19.13 - $27.53 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.Associated benefit information can be viewed here.
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Working Virtually
Benefits/PerksCompetitive salary Comprehensive benefits package Dental Flexible schedules Medical Medical and Dental Benefits Opportunities for growth Paid Time Off Retirement Retirement benefits Safe workplaces Sense of belonging
Tasks- Communicate with providers
- Submit pre-authorizations
- Validate referrals
- Verify insurance information
Admitting Authorization Authorizations Billing Clinical Collaboration Customer service Financial resources Health care Healthcare Healthcare Billing Healthcare experience Healthcare registration Healthcare services Insurance Insurance Verification Leadership Management Medical terminology Monitoring Organization Patient Access Patient care Pre-authorizations Quality Standards Referrals Registration Research
Experience1 years
EducationAA AA degree AS Associate degree Business College course work Healthcare Health vocational program High school diploma Medical billing & insurance Medical Terminology Vocational program
CertificationsNational association of healthcare access management certification
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9