UM Insur Ver Auth Spec-1

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: Days, Schedule: Days

Position Summary

The Utilization Management Insurance Verification and Authorization Specialist contacts/notifies a vast array of insurance carriers of hospital admissions per contract requirements to ensure that patients’ health care benefits cover required procedures and admissions. The incumbent verifies insurance information (eligibility, benefits and coverage levels); submits and monitors authorizations; identifies and organizes financial resources for anticipated healthcare charges; completes prior authorization of direct admission as required by patient type and anticipated service; provides estimate of patient liabilities; works with individuals to educate them on their benefits information using exceptional customer service skills. Incumbents work with staff and management throughout the revenue cycle, as well as representatives from insurance carriers and government agencies.

Requirements

• One (1) year of pre-authorization or referral coordinator experience to include pre-authorization request for an insurance payor
• OR Two (2) years 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 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: …