Healthcare Insurance Verification & Authorization Specialist

MultiCare Health System; Oregon; Hybrid; USD 29,000 - 41,000; Full time

Benefits offered by this job

PTO

Code Lavender

Employee Assistance Program

Tuition assistance

Job summary

MultiCare Health System in Oregon seeks an Insurance Verification Auth Specialist to secure financial clearance and pre-authorizations for high-dollar procedures. You'll verify eligibility, handle referrals, and coordinate with providers, payers, and patients to ensure timely and accurate authorizations.

The role emphasizes accuracy, collaboration across teams, and adherence to productivity standards, with day shifts and a comprehensive benefits package.

Qualifications

• Two or more years of experience with complex, high-dollar prior-authorizations.
• Customer service experience in healthcare.
• Proficiency in medical terminology.
• Experience reviewing policies and interpreting CPT/HCPCS codes per payer guidelines.
• Completion of a health vocational program preferred.
• NAHAM certification preferred.

Responsibilities

• Secure pre-authorizations from insurance for complex inpatient/outpatient services.
• Respond to clinical inquiries through insurance portals.
• Review medical records to ensure complete and accurate submissions.
• Evaluate and process authorization requests efficiently.
• Communicate with providers, insurers, and patients for authorization decisions.
• Meet daily productivity standards.
• Perform registration tasks and verify eligibility.
• Maintain accuracy to reduce insurance claim denials.
• Serve as a subject matter expert on referrals and authorizations.

Skills

Insurance verification

Pre-authorization management

Healthcare customer service

Medical terminology

CPT/HCPCS interpretation

Education

Health vocational program completed

NAHAM certification preferred

Job description

MultiCare Health System in Oregon seeks an Insurance Verification Auth Specialist to secure financial clearance and pre-authorizations for high-dollar procedures. You'll verify eligibility, handle referrals, and coordinate with providers, payers, and patients to ensure timely and accurate authorizations.

The role emphasizes accuracy, collaboration across teams, and adherence to productivity standards, with day shifts and a comprehensive benefits package.