Senior Patient Access & Referral Specialist

Providence; Renton (WA); On-site; USD 45,000 - 65,000; Full time

Job summary

Providence Health Plan in Renton, WA seeks a Senior Patient Authorization and Referral Representative to guide members through critical care journeys. You will coordinate insurance verifications, secure fast referral authorizations, and ensure every member feels supported and heard.

Working with our operations team, you’ll influence a five-star healthcare experience from day one. The role emphasizes accuracy, empathy, and timely communication in a dynamic, not-for-profit health plan environment.

Qualifications

• 3 years of Health care or insurance experience.
• 1 year of Prior experience in liaison role for providers and staff.
• 1 year of patient third party eligibility verification experience on an automated patient accounts system.
• 1 year of experience with coding: ICD-10, CPT, HCPCS.

Responsibilities

• Guide members through care journeys by coordinating authorizations and referrals.
• Perform insurance verifications to ensure timely access to care.
• Secure referral authorizations quickly to minimize gaps in treatment.
• Provide compassionate, clear support to members and families throughout the process.

Skills

Healthcare/insurance experience

Liaison with providers/staff

Patient eligibility verification

Tools

ICD-10 coding

CPT coding

HCPCS coding

Job description

Providence Health Plan in Renton, WA seeks a Senior Patient Authorization and Referral Representative to guide members through critical care journeys. You will coordinate insurance verifications, secure fast referral authorizations, and ensure every member feels supported and heard.

Working with our operations team, you’ll influence a five-star healthcare experience from day one. The role emphasizes accuracy, empathy, and timely communication in a dynamic, not-for-profit health plan environment.