Top 13 Prior authorization specialist Jobs in Auburn Wa

Authorization & Benefits Specialist
Proliance Surgeons, Inc. —Renton, WA
- $21.57 - $31.95 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- Paid time off
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Insurance Verification and Eligibility Specialist
Olympic Sports & Spine —Tacoma, WA
- $20.00 - $31.81 an hour
- Full-time
- Customer service
- Mid-level
- Office
- AD&D insurance
- Disability insurance
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Intake Specialist (In-Office if Local / Remote if Non-Local)
UNITED WOUND HEALING PS —Puyallup, WA
- $19 - $23 an hour
- Overtime
- Microsoft Outlook
- Pass drug screening
- HIPAA
- AD&D insurance
- Paid holidays
Quick Apply
Referral Coordinator
HealthPoint —Renton, WA
- $22.50 - $30.84 an hour
- Microsoft Word
- Microsoft Outlook
- Computer literacy
- Wellness program
- Health savings account
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Customer Solutions Specialist - Seattle, WA
AbbVie —Seattle, WA
- $84,500 - $162,000 a year
- Full-time
- Remote
- Computer literacy
- Mid-level
- Windows
- Paid holidays
- Health insurance
11d
Insurance Eligibility & Follow-Up Specialist (Remote)
GetixHealth —Tacoma, WA
- $16 - $20 an hour
- Overtime
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- AD&D insurance
- Disability insurance
Quick Apply
Customer Service Representative
QUIPT HOME MEDICAL INC —Auburn, WA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
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Program Coordinator /Scheduler / Harborview Rehabilitation Medicine
University of Washington —Seattle, WA
- $23.41 - $33.47 an hour
- Full-time
- Surgery
- Adults
- Mid-level
8d
Medical Biller - Prior Authorizations & Eligibility
Cascade Eye & Skin Centers, P.C. —Puyallup, WA
- From $22 an hour
- Full-time
- Medical office experience
- Basic math
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
1d
Referral Coordinator
Snoqualmie Valley Health —Snoqualmie, WA
- Extended hours
- Computer literacy
- Writing skills
- Medical office experience
- AD&D insurance
- Health insurance
Quick Apply
Patient Services Specialist
Peak Retina —Issaquah, WA
- $24 - $28 an hour
- Weekends as needed
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Health insurance
Quick Apply
3d
VP, Customer Success (Seattle, WA)
Hippocratic AI —Seattle, WA
- Full-time
- Pass drug screening
- Office
- Bachelor's degree

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Authorization & Benefits Specialist
Proliance Surgeons, Inc. —Renton, WA
Able to triage incoming calls and requests form provider groups/patient for authorization of services, questions, status updates.
$21.57 - $31.95 an hour
Quick Apply
Scheduling Coordinator Specialist Clinic
MultiCare Clinics —Puyallup, WA
MultiCare Cancer Institute is a physician-led, multi-specialty group within MultiCare Health System, delivering integrated hematology, oncology, radiation,…
$24.83 - $35.71 an hour
Quick Apply
8d

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Authorization & Benefits Specialist

Proliance Surgeons, Inc. -
Renton, WA

Quick Apply

Job Details

Full-time
$21.57 - $31.95 an hour

Benefits

Health insurance
Paid time off
401(k) matching

Qualifications

Medicare
Commercial insurance knowledge
Workers' compensation insurance knowledge

Full Job Description

At Proliance Surgeons our patients come from all walks of life — and so do we. We hire and support people from diverse backgrounds, fostering growth and development to make Proliance a great place to work. Our unique experiences and perspectives help us deliver Exceptional Outcomes, Personally Delivered.
We are proud to offer a comprehensive and competitive benefit and pay package including health coverage, 401k with match and profit share, PTO and more! For further details regarding Benefits and Washington State Minimum Wage details please visit our careers page at www.proliancesurgeons.com/careers. Compensation during the offer process will be determined based on factors such as compensation structure, experience, qualifications, and internal equity. Be Part of Who We Are!

Position Summary
The Authorization and Benefits Specialist is responsible for efficiently working accounts receivable for the organization, while maintaining customer service. This position will focus on obtaining prior authorization for procedures.
Key Duties and Responsibilities
The key duties and responsibilities of the Authorization and Benefits Specialist include, but are not limited to:

Coordinates and processes medical prior authorizations for surgical/procedures by reviewing insurance and submitting information needed for coverage
Able to triage incoming calls and requests form provider groups/patient for authorization of services, questions, status updates
Ensure professional communication with patients, clinic personnel, and outside vendors whether over the phone, via email or other written documentation and respond to all inquiries
Maintain a working knowledge of health care plan requirements and health plan networks
Verify and document insurance information as defined by current business practices
Accurately post all payments received from patients, attorney offices and/or insurance companies
Review Explanation of Benefits (EOB), research denials, rejections and/or excessive reductions
Ensure appropriate forms are used when requesting adjustments, insurance transfers or other specific account changes
Prepare, submit and ensure timely claim accuracy for all physician billing to third party insurance carriers either electronically or via hard copy
Make outbound phone calls to patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
Take inbound calls from patients or insurance companies as follow up to unpaid, denied or rejected billing claims and document according to current policy
Review and work any credit balances to determine if patient and/or insurance company refund is applicable
Other duties as assigned

Education/Experience

High School diploma/GED or equivalent
Customer service experience
Previous experience in a healthcare facility in relation to accounts receivable or billing practices preferred
Medicare experience strongly preferred.
Insurance experience and knowledge in commercial, work comp, and government payers required

Knowledge, Skills and Abilities

Attention to detail, excellent organizational and time management skills
Ability to work both independently and as a team member
Demonstrated ability to learn quickly and function well in a fast paced, high-pressure environment
Great interpersonal skills; demonstrating patience, composure and cooperation; working well with all patients, physicians, staff, and other business associates
Understanding of and adherence to all safety, risk management and precautionary procedures (OSHA/WISHA), including the consistent respect for confidentiality (HIPAA)
Self-motivated; able to work following specific guidelines and in accordance with detailed instructions; measure self against standard of excellence, overcome obstacles and challenges with little supervision

Work Environment/Physical Demands
The work environment/physical demands described here are representative of those that must be met by a teammate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable differently abled persons to perform the essential functions.

Quick Apply

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prior authorization specialist jobs in auburn wa

Authorization & Benefits Specialist

Insurance Verification and Eligibility Specialist

Intake Specialist (In-Office if Local / Remote if Non-Local)

Referral Coordinator

Customer Solutions Specialist - Seattle, WA

Insurance Eligibility & Follow-Up Specialist (Remote)

Customer Service Representative

Program Coordinator /Scheduler / Harborview Rehabilitation Medicine

Medical Biller - Prior Authorizations & Eligibility

Referral Coordinator

Patient Services Specialist

VP, Customer Success (Seattle, WA)

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