Insurance Verification Authorization and Customer Support Specialist - Revenue Capture

Company: Pacific Medical Centers
Location: Everett
Posted on: May 3, 2021

Job Description:

Providence is calling an Insurance Verification Authorization and Customer Support Specialist (Per Diem, Day Shift) to the Revenue Capture Department at Providence Medical Group Northwest Washington in Everett, WA. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible to all - especially those who are poor and vulnerable.

The Insurance Verification and Authorization Specialist is responsible for securing appropriate patient account reimbursement by obtaining complex demographic, insurance, and medical information, identifying services requiring authorization for treatment and referral information. This role is responsible for adding proper documentation to reflect the work in Epic. In addition, effectively communicate with internal and external customers including medical providers, clinic staff, and insurance companies.

Position Details: This is a non-patient facing, per diem position located in our Business Office. Position has no benefits, but includes per diem pay. The schedule varies based on the need of the department.

In this position you will have the following responsibilities:

* Obtains and verifies insurance eligibility verification.

* Effectively communicate with fellow caregivers along with internal and external customers including medical providers, clinic staff, and insurance companies.

* Maintain ongoing tracking and appropriate documentation on referrals and authorizations via computer system and/or manual systems.

* Works collaboratively with the back office teams to ensure an exceptional patient experience.

* Referral Queue management in Epic.

* Comprehensive knowledge of Payer guidelines.

* Collect and verify insurance authorization requirements to ensure payer requirements are met in a timely manner.

* Ensure Motor Vehicle Accident, Workers Compensation or other Third Party Liability paperwork has been completed.

Required qualifications for this position include:

* H.S. Diploma or GED or equivalent education/experience * One (1) year of work experience in customer service, hospital billing, or healthcare registration * Clerical and computer experience * Knowledge of CPT and ICD9/ICD10 coding and medical terminology * Experience with MS Outlook, Word and Excel

Preferred qualifications for this position include:

* One (1) year experience with insurance verification, referrals and pre-authorization in healthcare * One (1) year of healthcare experience in a hospital or clinical setting, health insurance or medical office

* Experience with Epic

About the clinic you will serve.

Providence Medical Group is a group of primary care, specialty care and hospital-based medical providers who serve Snohomish County in more than 10 locations in scenic northwest Washington. Our providers and staff strive to create a distinctive health care experience for each patient - one focused on trust, respect, communication and teamwork.

Keywords: Pacific Medical Centers, Everett , Insurance Verification Authorization and Customer Support Specialist - Revenue Capture, Other , Everett, Washington