Pre-Service IV/Auth Spec
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POST DATE 1/16/2020
END DATE 2/4/2020
MultiCare Health System
JOB DESCRIPTIONPOSITION 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.
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
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
One (1) year of post high school business or college course work preferred
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