Remote

UM Insurance Verification Auth Specialist

MultiCare Health System
paid time off
United States
Jan 03, 2025
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1.0, Shift: Day, Schedule: M-F 8 hours, variable weekends for weekend staff coverage as needed. Position Summary The Utilization Management Insurance Verification and Authorization Specialist contacts/notifies a vast array of insurance carriers of hospital admissions per contract requirements to ensure that patients' health care benefits cover required procedures and admissions. The incumbent verifies insurance information (eligibility, benefits and coverage levels); submits and monitors authorizations; identifies and organizes financial resources for anticipated healthcare charges; completes prior authorization of direct admission as required by patient type and anticipated service; provides estimate of patient liabilities; works with individuals to educate them on their benefits information using exceptional customer service skills. Incumbents work with staff and management throughout the revenue cycle, as well as representatives from insurance carriers and government agencies. Requirements One (1) year of pre-authorization or referral coordinator experience to include pre-authorization request for an insurance payor OR Two (2) years 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 Two (2) years experience in dealing with the public in a customer service role 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 Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other. Why MultiCare? Belonging: We work to create a true sense of belonging for all our employees Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes "America's Best Employers by State" for several years running Technology: "Most Wired" health care system 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn Pay and Benefit Expectations We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $21.25 - $30.59 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. Associated benefit information can be viewed here.