MultiCare Health System Insurance Verification - Auth Spec in Tacoma, Washington
The reasons to work at MultiCare are as unique as the people who do. Join us for the professional challenges you seek. In the settings you prefer. With schedules that fit your life. Learn more at www.multicarejobs.org POSITION SUMMARY: The Insurance Verification-Authorization Spec is responsible for identifying and organizing financial resources for anticipated healthcare charges. Responsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, creation of price estimates, communication of Advance Beneficiary Notice (ABN) issues to referring providers, and working with referring providers to resolve pre-service authorization denials. Other responsibilities include completing pre-registration as required by patient type and anticipated service. Incumbents work with staff and management throughout the revenue cycle, referring providers as well as representatives from insurance carriers and government agencies. MINIMUM REQUIREMENTS: One of the following: One (1) year of pre-authorization or referral coordinator experience OR One (1) year of experience processing incoming claims or pre-authorization requests for an insurance payor OR Two (2) years insurance billing, admitting, or registration experience in a hospital or medical office OR Graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1 year experience in healthcare AND: Two (2) years experience in dealing with the public in a customer service role EDUCATION/LICENSES/CERTIFICATIONS: Medical Terminology proficiency by examination One (1) year of post high school business or college course work preferred National Association of Healthcare Access Management Certification (NAHAM) preferred Employer's Job# 50464 Please visit job URL for more information about this opening and to view EOE statement.