Pre-Authorization Specialist - Remote in WA or OR

Freddie Mac; Tacoma (WA); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare services organization is seeking a candidate for managing referral authorizations, providing patient assistance, and ensuring compliance with health plan requirements. This position offers competitive pay, a comprehensive benefits package, and opportunities for career advancement. Located in Washington or Oregon, remote work options are available.

Benefits

Comprehensive benefits package

401k contributions

Equity stock purchase

Flexible work hours

Qualifications

• 2+ years of experience in healthcare with focus on health plan operations.
• Proficient in EHR/EMR systems, especially Epic.
• Ability to work full-time with flexible schedules.

Responsibilities

• Initiate and manage referral authorizations, ensuring compliance.
• Assist patients and staff with inquiries related to referrals.
• Document patient information accurately in electronic health records.

Skills

Healthcare Experience

EHR/EMR Proficiency

Communication

Problem Solving

Education

High School Diploma or GED

Tools

Epic

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $33.22 per hour
- Comprehensive benefits package including 401k contributions and equity stock purchase
- Opportunity for career advancement and growth within the organization
- Work remotely if located in Washington or Oregon
- Supportive and inclusive work culture
- Flexible work hours during normal business operations

What to Expect (Job Responsibilities):
- Initiate and manage referral authorizations and ensure compliance with health plan requirements
- Assist patients, staff, and physicians with inquiries related to referrals and authorization processes
- Research and process denied claims due to missing authorizations or referrals
- Document patient information accurately in the electronic health record
- Collaborate with clinical teams and health plans to enhance the referral and authorization management process

What is Required (Qualifications):
- High School Diploma or GED
- Must be 18 years of age or older
- 2+ years of experience in healthcare, with a focus on health plan operations
- Proficiency in EHR/EMR systems, specifically Epic
- Ability to work full-time with flexibility to accommodate 8-hour shift schedules

How to Stand Out (Preferred Qualifications):
- 1+ years of experience in referrals/pre-authorization management
- Experience in appeal writing and processing
- Knowledge of CPT & Diagnosis Coding, Medical Terminology, and basic Anatomy
- Familiarity with EOB, COB, Remits, and CMS 1500 documentation
- Understanding of organizational policies and procedures

#HealthcareServices #RemoteWork #CareerGrowth #ComprehensiveBenefits #HealthcareCareers

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