Referral Authorization Specialist
MultiCare Health System
About Pulse Heart Institute
MultiCare’s Pulse Heart Institute is a physician led institute with multi-specialty partnership with Cardiothoracic surgery, vascular and cardiovascular service lines. Our team and state-of-the-art programs create a world-class health care organization and the destination center for cardiac, thoracic, and vascular care with complex structural heart disease and interventions, advanced heart failure service as well as advanced imaging with cutting edge technologies.
FTE: 1.0, Shift: Day, Schedule: Mon-Fri
Position Summary
The Referral Authorization Specialist is an ideal opportunity responsible for identifying and securing financial resources for complex, high dollar, inpatient and outpatient vascular surgeries and procedures, outpatient testing and surgical consultation. As an intermediate level office resource, your ability to effectively manage authorizations, referrals, benefits and estimates for anticipated health care services, will ensure the efficient operations of patient health care services.Responsibilities
You will expedite administrative and insurance requirements and logistics You will serve as a resource on referrals and insurance plan and benefit guidelines You will apply discretion, good judgment, and professional communication to all work experiences You will regularly utilize independent decision-making capacities and strong interpersonal skillsRequirements
AA degree in business or medical records management preferred Minimum 3-5 years referral or medical billing experience National Association of Healthcare Access Management Certification (NAHAM) preferred Three (3) years of pre-authorization or referral coordinator experience preferred Three (3) years of experience processing incoming claims or pre-authorization requests for an insurance payor preferred Completion of formal authorization onboarding/training within Pre- Service department performing the principal accountabilities preferred Two (2) years of experience in dealing with the public in a customer service role Medical Terminology proficiency by examinationWhy Choose Pulse?
Belonging: We work to create a true sense of belonging for all our caregiversMission-driven: Together, give people their best life. Pulse Heart Institute makes the complex world of cardiovascular care simple for our patientsAward-winning: Chest Pain – MI Registry™ Platinum Performance Achievement Award for several years running. Across the state of Washington, MultiCare hospitals with Pulse units were the facilities to achieve this award in 2024Employee-centric: MultiCare is consistently ranked among “America’s Best Employers by State” by Forbes Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turnPay 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 $21.47 - $30.89 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.
Por favor confirme su dirección de correo electrónico: Send Email