Pre-Service IV/Auth Spec

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POST DATE 1/16/2020
END DATE 2/4/2020

MultiCare Health System Auburn, WA

Location
Auburn, WA
AJE Ref #
586376921
Job Classification
Full Time
Job Type
Regular
Company Ref #
76300
Experience
Entry Level (0 - 2 years)
Education
High School Diploma or GED

JOB DESCRIPTION

POSITION SUMMARY:
The Pre-Service IV/Auth Specialist completes pre-registrations by patient type and anticipated healthcare service by verifing insurance information (eligibility and benefits), validating referrals and prior authroizations, submitting and monitoring pre-authorizations while meeting daily productively and quality standards. The incumbent provides price estimates for anticipated healthcare services; identifies and secures financial resources for healthcare services provided; communicates Advance Beneficiary Notice (ABN) issues to referring providers; works with referring providers to resolve pre-service authorization denials and serves as a functional expert for peers across throughout Patient Access.

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
Medical Terminology proficiency by examination
National Association of Healthcare Access Management Certification (NAHAM) preferred

EDUCATION/LICENSES/CERTIFICATIONS:
One (1) year of post high school business or college course work preferred

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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

MultiCare is a smoke-free, drug-free workplace. All employment offers are contingent upon acceptable pre-employment drug tests which include testing for the use of marijuana and nicotine. As part of our commitment to a healthy workplace, we require employees to obtain an annual flu immunization.

If you are a job applicant who requires reasonable accommodation in the job application process, please contact our Candidate Experience Team at candidateexperienceteam@multicare.org.