Insurance Verification Auth Specialist Special Srvc

The Insurance Verification/Authorization Specialist for Pulse Vascular Surgery is responsible for identifying and securing financial resources for complex, high dollar, inpatient and outpatient vascular surgeries and procedures, outpatient testing and surgical consultation, including authorizations, referrals, benefits and estimates for anticipated healthcare services. The Specialist verifies insurance information (eligibility and benefits); processes incoming and outgoing referrals and prior authorizations; obtains pre-registration information and ensures accuracy as required by patient type and anticipated service; submits and monitors pre-authorizations; communicates Advance Beneficiary Notice (ABN) as indicated, and works with Vascular Surgeons to resolve pre-service authorization denials.

• One (1) year of post high school business or college course work preferred
• OR graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare
• Medical Terminology proficiency by examination
• National Association of Healthcare Access Management Certification (NAHAM) preferred
• OR two (2) years 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
• Two (2) years’ experience in dealing with the public in a customer service role
• Two (2) years of pre-authorization or referral coordinator experience

• Employee-centric: Named Forbes "America's Best Employers by State" in 2021
• Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountain, and forest at every turn
• Technology: "Most Wired" healthcare system 10 years in a row
• Mission-driven: Partnering for healing and a healthy future
• Market Leadership: Washington's largest community-based, locally governed health system

MultiCare provides a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, MultiCare shares a competitive range of compensation for candidates hired into each position. The starting pay for this position is $22.53 and the pay scale is $22.53 - $32.41 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.