Day Shift: Insurance Verification & Authorization Specialist

MultiCare Health System; Tacoma (WA); On-site; USD 29,000 - 41,000; Full time

Job summary

MultiCare Health System is seeking an Insurance Verification Auth Specialist to secure financial clearance for patients undergoing complex, high-dollar procedures. You will verify eligibility, obtain pre-authorizations, and support efficient delivery of specialized healthcare services.

The role requires determining payer requirements, coordinating with referring providers, and ensuring accurate submissions.

Qualifications

• Minimum two (2) years of experience working complex, high dollar prior-authorizations, referral coordination for relevant service lines, or in insurance billing, admitting, or registration within a healthcare setting
• Customer service experience in healthcare
• Proficiency in medical terminology, validated by examination
• Experience reviewing medical policies and interpreting CPT and HCPCS codes in alignment with payer guidelines
• Certification from NAHAM preferred or completion of related health vocational program preferred

Responsibilities

• Secure pre-authorizations from insurance companies for inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services
• Respond to clinical inquiries through insurance portals to support timely approvals
• Review medical records and documentation to ensure complete submissions
• Evaluate and process medical authorization requests to facilitate patient care
• Communicate with providers, insurers, and patients to gather and relay information for decisions
• Meet daily productivity standards in authorization workflows
• Perform registration tasks such as loading insurance details and verifying eligibility
• Maintain high accuracy to reduce claim denials and ensure financial clearance
• Serve as a subject matter expert on referrals, authorizations, and plan guidelines within MultiCare Health System

Skills

Healthcare customer service

Medical terminology

CPT/HCPCS coding interpretation

Prior-authorizations coordination

Insurance policy review

Education

Health vocational program

Post-secondary coursework

NAHAM certification preferred

Job description

MultiCare Health System is seeking an Insurance Verification Auth Specialist to secure financial clearance for patients undergoing complex, high-dollar procedures. You will verify eligibility, obtain pre-authorizations, and support efficient delivery of specialized healthcare services.

The role requires determining payer requirements, coordinating with referring providers, and ensuring accurate submissions.