What are the responsibilities and job description for the Utilization Management Insurance Verification and Authorization Specialist position at MultiCare Health System?
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: Day
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 - $30.89 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.
MultiCare is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, national origin, sexual orientation, gender identity, disability or veteran status. EOE/AA/M/F/D/V
Salary : $21 - $31
