Insurance Verification Authorization Specialist

Yakima Memorial Hospital; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Yakima Memorial Hospital is seeking an Insurance Verification Authorization Specialist to join their team. This role involves verifying insurance information, providing price estimates, and ensuring pre-authorizations are completed efficiently. Ideal candidates will have strong customer service skills and medical terminology proficiency, contributing to the hospital's mission of providing exceptional patient care.

Benefits

Comprehensive benefits package

Paid time off

Qualifications

• One year of experience in customer service preferred.
• Medical Terminology proficiency by exam required.
• Experience in a healthcare setting preferred.

Responsibilities

• Complete pre-registrations by verifying insurance information.
• Provide price estimates for anticipated healthcare services.
• Communicate issues to referring providers regarding authorizations.

Skills

Customer Service

Medical Terminology

Education

High School Diploma or equivalent

AA Degree

Graduate of a health vocational program

Job description

Insurance Verification Authorization Specialist page is loaded

Insurance Verification Authorization Specialist

Apply locations Remote, USA time type Full time posted on Posted 3 Days Ago job requisition id JR51899

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.

FTE: 1.0, Shift: days, Schedule: M-F 0830-1700

Position Summary

The Pre-Service IV/Auth Specialist completes pre-registrations by patient type and anticipated healthcare service by verifing insurance information (eligibility and benefits), validating referrals and prior authroizations, submitting and monitoring pre-authorizations while meeting daily productively and quality standards. The incumbent provides price estimates for anticipated healthcare services; identifies and secures financial resources for healthcare services provided; communicates Advance Beneficiary Notice (ABN) issues to referring providers; works with referring providers to resolve pre-service authorization denials and serves as a functional expert for peers across throughout Patient Access.

Requirements

• One (1) year of post high school business or college course work preferred
• National Association of Healthcare Access Management Certification preferred
• Minimum one (1) year experience in dealing with the public in a customer service role preferred
• Medical Terminology proficiency by exam AND one of the following:
• One (1) year admitting, billing, or registration experience in a health care setting
• OR Graduate of a health vocational program such as Medical Assistance, Medical Billing & Insurance, or Medical General
• OR AA Degree and six months healthcare experience

Our Values

As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.

Why MultiCare?

• Belonging: We work to create a true sense of belonging for all our employees
• Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
• Market leadership: Washington state's largest community-based, locally governed health system
• Employee-centric: Named Forbes “America’s Best Employers by State” for several years running
• Technology: "Most Wired" health care system 15 years in a row
• Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
• Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $19.32 - $27.80 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here .

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