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Position Summary: The Referral/Authorization Specialist for Pulse Vascular Surgery is responsible for identifying and securing financial resources for complex, high dollar, inpatient and outpatient vascular surgeries and procedures, outpatient testing and surgical consultation, including authorizations, referrals, benefits and estimates for anticipated healthcare services. The Specialist verifies insurance information (eligibility and benefits); processes incoming and outgoing referrals and prior authorizations; obtains pre-registration information and ensures accuracy as required by patient type and anticipated service; submits and monitors pre-authorizations; communicates Advance Beneficiary Notice (ABN) as indicated, and works with Vascular Surgeons to resolve pre-service authorization denials.
Minimum Requirements: Three (3) or more years of pre-authorization or referral coordinator experience OR Three (3) or more years of experience processing incoming claims or pre-authorization requests for an insurance payor OR Completion of formal authorization onboarding/training within Pre- Service department performing the principal accountabilities. AND: Two (2) years experience in dealing with the public in a customer service role Medical Terminology proficiency by examination
Education/Licenses/Certifications: AA degree in business or medical records management preferred National Association of Healthcare Access Management Certification (NAHAM) preferred
Position Type: Full-Time Regular Full Time Employee: YesPrimary Shift: Day Work Schedule: Day
MultiCare is a not-for-profit health care organization with more than 20,000 team members, including employees, providers and volunteers. MultiCare has been caring for our community for well over a century, since the founding of Tacoma’s first hospital and today is the largest community-based, locally governed system of health in the state of Washington, serving communities across Washington and Northern Idaho.
MultiCare’s comprehensive system of health includes numerous primary care, urgent care and specialty services — including Mary Bridge Children’s Hospital & Health Network; MultiCare Indigo Urgent Care; Pulse Heart Institute; MultiCare Medical Associates, affiliated physicians; MultiCare Rockwood Clinic, the largest multispecialty clinic in the Inland Northwest region; and MultiCare Connected Care, our Accountable Care Organization.
Eleven hospitals complete the organization: Allenmore Hospital, Auburn Medical Center, Capital Medical Center, Covington Medical Center, Deaconess Hospital, Good Samaritan Hospital, Mary Bridge Children’s Hospital — the Puget Sound region’s only children’s hospital and state-designated Level II Pediatric Trauma Center for Western Washingt...on — Navos Behavioral Health Hospital, Valley Hospital, Tacoma General Hospital — which is home to the South Puget Sound region’s only Level IV Neonatal Intensive Care Unit — and Wellfound Behavioral Health Hospital.
Our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness, 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.
MultiCare is also proud of our commitment to workforce diversity and culturally competent care. This commitment is led by our CEO and supported through employee education and community outreach.