Senior Patient Access & Authorization Specialist

Providence Health Plan Group; Renton, Northern (WA, KY); Hybrid; USD 36,000 - 55,000; Full time

Job summary

Providence in Renton, WA seeks a Senior Patient Authorization and Referral Representative to guide members through critical care journeys, verify insurance, and secure timely referrals. You will support our operations team in delivering compassionate, seamless access to care from day one.

Join a mission-driven team and help ensure a five-star experience for every member through accurate eligibility checks and proactive coordination of care pathways.

Qualifications

• 3 years of Health care or insurance experience
• 1 year of prior liaison experience for providers and staff
• 1 year of patient third party eligibility verification experience on an automated patient accounts system

Responsibilities

• Guide members through care journeys and secure referral authorizations
• Navigate insurance verifications to ensure timely access to care
• Support operations and contribute to a five-star healthcare experience from day one

Skills

Health care experience

Liaison experience

Eligibility verification

Tools

ICD-10/CPT/HCPCS coding

Job description

Providence in Renton, WA seeks a Senior Patient Authorization and Referral Representative to guide members through critical care journeys, verify insurance, and secure timely referrals. You will support our operations team in delivering compassionate, seamless access to care from day one.

Join a mission-driven team and help ensure a five-star experience for every member through accurate eligibility checks and proactive coordination of care pathways.