Strategic Payer Authorization Specialist

Vancouver Support Office (VSO); California (MO); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Competitive Pay

Health, Dental, Vision Insurance

Generous PTO Package

Employee Assistance Program

Training & Development Opportunities

Job summary

Evergreen Healthcare Group is seeking an experienced Managed Care Authorization Specialist to join our corporate team. You will manage concurrent authorization requests, coordinate with payers and facility staff, and support with initial authorization requests as needed.

Responsibilities include data entry into EMR for billing, insurance verification with admissions teams, and maintaining up-to-date knowledge of reimbursement rules. Excellent communication in English required.

Qualifications

• Maintains patient confidentiality and regulatory compliance.
• Proficient with Microsoft Office and EMR software.
• Excellent written and verbal English communication.

Responsibilities

• Data entry of patient information into the EMR for billing.
• Collaborates with Admissions for insurance verification and case management.
• Maintains knowledge of reimbursement principles and pricing parameters.
• Communicates with payor case managers for updates/authorizations.
• On-call responsibilities as assigned.
• Handles client complaints promptly and empathetically.
• Trains new hires and performs remedial training.
• Manages and monitors to-dos in EMR daily.
• Assists Supervisor with projects as assigned.

Skills

Regulatory compliance

Confidentiality

Communication skills

Time management

Education

High school diploma or equivalent

Tools

Microsoft Office

Excel

Word

PowerPoint

Outlook

Job description

Evergreen Healthcare Group is seeking an experienced Managed Care Authorization Specialist to join our corporate team. You will manage concurrent authorization requests, coordinate with payers and facility staff, and support with initial authorization requests as needed.

Responsibilities include data entry into EMR for billing, insurance verification with admissions teams, and maintaining up-to-date knowledge of reimbursement rules. Excellent communication in English required.