Ins Verif/Auth Spec-Spec Srvc Job at MultiCare Health System
Job Details
Position Summary:
The Insurance Verification/Authorization Specialist for Specialty Services is responsible for identifying and securing financial resources for complex, high dollar, inpatient specialty services including authorizations, referrals, benefits and estimates for anticipated healthcare services. The Specialist verifies insurance information (eligibility and benefits); processes referrals and prior authorizations; completes pre-registration as required by patient type and anticipated service; submits and monitors pre-authorizations; creates price estimates; communicates Advance Beneficiary Notice (ABN) issues to referring providers, and works with referring providers to resolve pre-service authorization denials.
Minimum Requirements:
One of the following:
Three (3) or more years of pre-authorization or referral coordinator experience
OR Three (3) or more years of experience processing incoming claims or pre-authorization requests for an insurance payor
OR
Completion of formal authorization onboarding/training within Pre- Service department performing the principal accountabilities
AND:
Two (2) years experience in dealing with the public in a customer service role
Medical Terminology proficiency by examination
Education/Licenses/Certifications:
AA degree in business or medical records management preferred
National Association of Healthcare Access Management Certification (NAHAM) preferred
MultiCare welcomes and encourages all qualified applicants to apply. This position will work remotely but the primary residence must be within the State of Washington.
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