The reasons to work at MultiCare are as unique as the people who do. Join us for the professional challenges you seek. In the settings you prefer. With schedules that fit your life. Learn more at www.multicarejobs.org Position Summary: Minimum Requirements: Education/Licenses/Certifications:
The Insurance Verification-Authorization Spec is responsible for identifying and organizing financial resources for anticipated healthcare charges. Responsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, creation of price estimates, communication of Advance Beneficiary Notice (ABN) issues to referring providers, and working with referring providers to resolve pre-service 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, referring providers as well as representatives from insurance carriers and government agencies.
One of the following:
One (1) year of pre-authorization or referral coordinator experience OR
One (1) year 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
AND: 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
MultiCare is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, national origin, sexual orientation, gender identity, disability or veteran status. EOE/AA/M/F/D/V
MultiCare is a smoke-free, drug-free workplace. All employment offers are contingent upon acceptable pre-employment drug tests which include testing for the use of marijuana and nicotine. As part of our commitment to a healthy workplace, we require employees to obtain an annual flu immunization.
If you are a job applicant who requires reasonable accommodation in the job application process, please contact our Candidate Experience Team at email@example.com.