Authorization & Benefits Specialist

Proliance Surgeons; Seattle (WA); On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Health insurance

401(k) with match and profit sharing

Generous paid time off

Holiday pay

Life and LTD

Learning Management System offering CE

Job summary

Proliance Surgeons - Orthopedic Specialists of Seattle seeks an Authorization and Benefits Specialist to efficiently handle accounts receivable and obtain prior authorizations for procedures. You will interact with patients, providers, and payers to ensure accurate billing and timely approvals in a fast-paced healthcare setting.

Based at our Seattle clinics with travel between Wallingford and Ballard offices as needed, this role offers competitive benefits including health coverage, 401(k) with

Qualifications

• Attention to detail
• Excellent organizational and time management skills
• Ability to work independently and in a team
• Healthcare billing and insurance knowledge

Responsibilities

• Process medical prior authorizations for procedures and review insurance coverage
• Triages calls from providers and patients regarding authorization status
• Post payments and document refunds and adjustments
• Maintain knowledge of health plan requirements and networks
• Coordinate with patients, clinic staff and insurers to ensure timely approvals

Education

High School diploma/GED or equivalent

Job description

Orthopedic Specialists of Seattle Clinic Seattle, 2409 N 45th St, Seattle, Washington, United States of America

Job Description

Posted Monday, August 3, 2026 at 10:00 AM

At Proliance Surgeonsour patients come from allwalks of life- and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliancea great placeto work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered.

We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers . Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. Be Part of Who We Are!

At Proliance Surgeons - Orthopedic Specialists of Seattle, we believe great patient care starts with a supported and appreciated team. We foster a collaborative, respectful culture where employees are encouraged to grow, learn, and pursue new opportunities. In addition to meaningful work and pathways for professional development, we prioritize employee appreciation with perks like free coffee, weekly complimentary lunches, an annual holiday party, and other team-building events, because we believe a positive, connected workplace matters.

Additional perks & benefits include:

• Medical, dental, and vision insurance
• 401(k) with match and profit sharing
• Generous paid time off/sick and safe leave - accrual from date of hire
• Holiday pay, no nights or weekends
• Life and LTD - paid for by the company
• Performance incentives
• Learning Management System offering free CEUs
• Team member referral program and more!

Travel between Wallingford and Ballard offices required, based on business needs.

Position Summary

The Authorization and Benefits Specialist is responsible for efficiently working accounts receivable for the organization, while maintaining customer service. This position will focus on obtaining prior authorization for procedures.

Key Duties and Responsibilities

The key duties and responsibilities of the Authorization and Benefits Specialist include, but are not limited to:

• Coordinates and processes medical prior authorizations for surgical/procedures by reviewing insurance and submitting information needed for coverage
• Able to triage incoming calls and requests form provider groups/patient for authorization of services, questions, status updates
• Ensure professional communication with patients, clinic personnel, and outside vendors whether over the phone, via email or other written documentation and respond to all inquiries
• Maintain a working knowledge of health care plan requirements and health plan networks
• Verify and document insurance information as defined by current business practices
• Accurately post all payments received from patients, attorney offices and/or insurance companies
• Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions
• Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
• Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy
• Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
• Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
• Review and work any credit balances to determine if patient and/or insurance company refund is applicable
• Other duties as assigned

Education/Experience

• High School diploma/GED or equivalent
• Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred
• Medicare experience strongly preferred.
• Insurance experience and knowledge in commercial, work comp, and government payers required

Knowledge, Skills and Abilities

• Attention to detail, excellent organizational and time management skills
• Ability to work both independently and as a team member
• Demonstrated ability to learn quickly and function well in a fast paced, high-pressure environment
• Great interpersonal skills; demonstrating patience, composure and cooperation; working well with all patients, physicians, staff, and other business associates
• Understanding of and adherence to all safety, risk management and precautionary procedures (OSHA/WISHA), including the consistent respect for confidentiality (HIPAA)
• Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision

Work Environment/Physical Demands

The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Orthopedic Specialists of Seattle Clinic Seattle, 2409 N 45th St, Seattle, Washington, United States of America