Insurance Verification / Authorization and Customer Support Specialist

Company: Providence Health & Services
Location: Everett
Posted on: May 3, 2021

Job Description:

Providence is calling a Insurance Verification / Authorization and Customer Support Specialist (0.5 FTE, Day Shift) to the Registration Operations in Everett, WA

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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 this position you will:

• Verification of insurance eligibility.
• Ensuring Admission Notification has been completed.
• Identifying services and payers requiring authorization and ensuring required authorizations are in place.
• Identifying services requiring a referral and ensuring it is in place.
• Identifying services requiring consent forms (eg: Sterilization) and ensuring signed forms are in place.
• Ensuring Motor Vehicle Accident, Workers Compensation or other Third Party Liability paperwork has been completed.

Required qualifications for this position include:

• High School Diploma or GED -OR- equivalent educ/experience
• 1 year of experience in customer service, hospital billing, or healthcare registration.
• Clerical and computer experience.
• Knowledge of CPT and ICD9/ICD10 coding and medical terminology.

Preferred qualifications for this position include:

• Some college level course work
• Satisfactory completion of college level Medical Terminology or Medical Assistant course
• 1 year of healthcare experience in a hospital or clinical setting, health insurance or medical office.
• Knowledge of insurance billing and managed care.

About the hospital you will serve.

Providence Regional Medical Center Everett in Everett, WA is the state's most award-winning hospital for medical care; having received the HealthGrades Distinguished Hospital Award for Clinical Excellence four years in a row. Our new state-of-the-art 12 story hospital tower and the implementation of an electronic medical records system will significantly enhance our patient's experience throughout the continuum of care.

The hospital is located in Snohomish County on the Sound and close to the mountains, so outdoor activities such as snow skiing, kayaking, and golfing are at your doorstep. The communities in Snohomish have all the comforts and appeal of small towns, with historical districts, beautiful homes, interesting boutiques, and unique restaurants, yet the city life of Seattle and Bellevue are just 30 minutes south, while the cosmopolitan city of Vancouver, BC lies only 2 hours north.

Keywords: Providence Health & Services, Everett , Insurance Verification / Authorization and Customer Support Specialist, Other , Everett, Washington