Top 142 Insurance verification Jobs in Kent, Wa

Authorization Coordinator
Northwest Medical Specialties, PLLC —Puyallup, WA
- $25 - $30 an hour
- Full-time
- Hybrid work
- Background check
- English
- Research
- Health savings account
- Health insurance
Quick Apply
4d
Patient Services Representative I
HealthPoint —Kent, WA
- $22.50 - $29.62 an hour
- Microsoft Outlook
- Computer literacy
- High school diploma or GED
- Wellness program
- Health savings account
Quick Apply
Patient Access Technician
Auburn Medical Center —Auburn, WA
- $24.35 - $37.06 an hour
- Full-time
- Surgery
- Customer service
- Inpatient
- Health insurance
- Dental insurance
Quick Apply
Patient Scheduler - Medical Imaging
Swedish Health Services —Issaquah, WA
- $30.30 - $45.57 an hour
- Full-time
- Hospital
- Trade school
- Fair chance
- Paid parental leave
- Paid holidays
2d
Clinic Scheduler
Cardiac Study Center —Puyallup, WA
- $18.38 - $38.59 an hour
- 8 hour shift
- Clinic
- Data entry
- 1 year
- Health insurance
- Dental insurance
Quick Apply
14d
Scheduling Coordinator - Imaging Dept
Overlake Medical Center and Clinics —Bellevue, WA
- $27.98 - $41.97 an hour
- Full-time
- Hospital
- English
- Mid-level
- Tuition reimbursement
- Employee assistance program
Patient Access Technician
Tacoma General Hospital —Tacoma, WA
- $24.88 - $37.85 an hour
- 12 hour shift
- Customer service
- Mid-level
- Children
- Health insurance
- Dental insurance
Quick Apply
Patient Authorization and Referral Representative - Patient Access
Pacific Medical Centers —Seattle, WA
- $22.62 - $35.22 an hour
- Full-time
- Hybrid work
- Hospital
- Research
- Mid-level
- Paid parental leave
- Paid holidays
Patient Services Representative I
HealthPoint Kent —Kent, WA
- $22.50 - $29.63 an hour
- Microsoft Outlook
- Computer literacy
- High school diploma or GED
- Wellness program
- Health savings account
Quick Apply
7d
Patient Access Technician
Good Samaritan Hospital —Puyallup, WA
- $23.14 - $35.22 an hour
- Part-time
- Acute care
- Hospital
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Scheduling Coordinator
Overlake Medical Center and Clinics —Bellevue, WA
- $27.98 - $41.97 an hour
- Full-time
- Hospital
- English
- Mid-level
- Tuition reimbursement
- Employee assistance program
Patient Access Rep (Clinic)
Franciscan Medical Group —Bonney Lake, WA
- $23.90 - $34.79 an hour
- Part-time
- No experience needed
- Clinic
- 1 year
5d
Patient Access Rep
Franciscan Medical Group —Tacoma, WA
- $23.90 - $34.79 an hour
- Full-time
- No experience needed
- Clinic
- 1 year
Patient Access Representative_Patient Access Center
Planned Parenthood GNHI —Tacoma, WA
- $20.76 - $26.47 an hour
- Full-time
- Urgent Care
- High school diploma or GED
- 2 years
- Disability insurance
- Health insurance
Patient Care Coordinator
Optum —Seattle, WA
- $18 - $32 an hour
- 8 hour shift
- Microsoft Outlook
- OSHA
- Computer literacy
- AD&D insurance
- Employee stock purchase plan
Patient Access Technician U
Good Samaritan Hospital —Puyallup, WA
- $23.14 - $35.22 an hour
- Full-time
- Acute care
- Hospital
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Patient Services Coordinator
HealthPoint —Kent, WA
- $24.17 - $35.53 an hour
- Microsoft Outlook
- Computer literacy
- Mid-level
- Wellness program
- Health savings account
Quick Apply
2d
Patient Services Representative I (Temporary)
HealthPoint —SeaTac, WA
- $22.50 - $29.62 an hour
- Temporary
- Microsoft Outlook
- Computer literacy
- High school diploma or GED
- Retirement plan
Quick Apply
Patient Access Rep Clinic
Franciscan Medical Group —Enumclaw, WA
- $23.90 - $34.79 an hour
- Full-time
- Clinic
- 1 year
- Medical terminology
6d
Patient Access Technician
Allenmore Hospital —Tacoma, WA
- $24.88 - $37.85 an hour
- Full-time
- Hospital
- Customer service
- Inpatient
- Health insurance
- Dental insurance
Quick Apply
8d

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Authorization Coordinator

Northwest Medical Specialties, PLLC -
Puyallup, WA

Quick Apply

Job Details

Full-time
$25 - $30 an hour
4 days ago

Benefits

Health savings account
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Life insurance

Qualifications

Health insurance authorizations
Multitasking
Medical insurance coverage verification
Maintaining patient confidentiality
HMO health insurance
Medical coding guidelines
English
High school diploma or GED
Healthcare referral management
HCPCS
Pre-authorization review for utilization management
Attention to detail
Health insurance pre-authorization requirements
Adaptability
Health insurance referral requirements
Negotiation
Flexibility

Full Job Description

Company Overview
Northwest Medical Specialties is dedicated to providing compassionate, high-quality healthcare across multiple clinics. Our organization values a caring atmosphere and is committed to fostering a diverse and inclusive workforce that prioritizes patient well-being and community engagement.

Job Overview
The Authorization Coordinator is responsible for the utilization review of treatment and drugs that are administered at all NWMS locations. This position will initiate and coordinate pre-certification and prior authorization for patients with their insurance carrier.

Essential Duties and Responsibilities:

Performs Insurance Benefit reviews for patients that have new treatment ordered and patients currently on treatment who have had a change of insurance.
Re-verifies insurance daily, monthly or quarterly depending on the type of treatment and insurance plan. Maintains updated notes in Allscripts PM with patients remaining out of pocket.
Reviews chemotherapy/infusion schedules daily and updates status of the Business office on the flow sheet.
Submits Authorization/Pre-determination requests for treatment to insurance companies.
Performs Utilization reviews for all new treatment ordered and any treatment changes to ensure medical criteria is met (FDA, NCCN, Payor specific medical policy).
Obtains stat authorizations for any urgent add-on requests.
Maintains accurate authorization information in Allscripts PM and ONCOEMR.
Communicates with providers/nursing staff of any insurance restrictions or payer specific requirements.
Performs financial reviews and calculates patient responsibility for infusion/treatment and forwards to the financial counselors.
Provides any information requested regarding treatments to physicians, nurses, and billing staff, as needed.
Obtains HMO/ Out of network office visit referrals as required by Insurer, dependent upon the plan coverage for all patients
Researches and corrects invalid or incorrect patient insurance demographic information to ensure proper billing and maintain accuracy of authorization notes in Allscripts PM that correlate with any insurance changes.
Works closely with business office and drug representatives to ensure HCPCS codes, ICD10 codes, and procedure codes are accurate.
Assists patients with questions or concerns regarding their insurance plan.
Works with and assists the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
Responds professionally to all inquiries from patients, staff, and payors in a timely manner, usually within 24 hours.
Keeps management informed of changes in authorization process, insurance policies, billing requirements, rejection or denial codes as they pertain to claim processing and coding.
Accurately documents patient accounts of all actions taken.
Establishes and maintains a professional relationship with all staff in order to resolve problems and increase knowledge of account management.
Communicates with clinic management and staff regarding insurance carrier contractual and regulatory requirements.
Educates clinic management and staff regarding changes to insurance and regulatory requirements.
Informs management of any billing or authorization concerns, backlogs, insurance issues, problem accounts and time available for additional tasks.
Negotiates a work improvement plan with management to raise work quality and quantity to standards, as necessary.
Attends appropriate workshops to enhance clerical, billing and computer skills.
Completes additional projects and duties as assigned.

Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Comprehensive working knowledge of third-party insurance processes required.
Overall knowledge of authorization, benefits, referral requirements and claims processing for insurance companies and plans both private and government.
Understanding of clinic operations related to patient registration, insurance, referrals, and authorizations.
Knowledge of WA state Health Exchange plans and managed care plans.
Understanding of insurance payor reimbursement, authorization, collection practices, and practice management systems helpful.
Ability to adapt to change, prioritize tasks, and assess and resolves problems effectively
Strong interpersonal skills and ability to communicate effectively in written and spoken English.
Demonstrates the ability to carry out assignments independently, work form procedures, and exercise good judgment.
Demonstrates the ability to maintain the confidentiality of all records.
Ability to manage multiple tasks and demands given tight time constraints while ensuring a high degree of accuracy and attention to detail.
Regular and punctual attendance.

Education/Experience

· High School diploma or GED; Two years of College or Professional School preferred

· One year of experience with ICD-10, CPT, and HCPCS codes.

· One year of experience working in a multispecialty group practice or healthcare system preferred.

· One year of third-party eligibility verification experience on an automated patient accounts system, including experience with insurance referrals/authorizations preferred.

· Training or education in office and personnel management, computer/database systems and practice management systems.

Pay: $25.00 - $30.00 per hour

Benefits:

401(k)
Dental insurance
Employee assistance program
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Vision insurance

Work Location: Hybrid remote in Puyallup, WA 98373

Quick Apply

Refine Your Search

insurance verification jobs in kent, wa

Authorization Coordinator

Patient Services Representative I

Patient Access Technician

Patient Scheduler - Medical Imaging

Clinic Scheduler

Scheduling Coordinator - Imaging Dept

Patient Access Technician

Patient Authorization and Referral Representative - Patient Access

Patient Services Representative I

Patient Access Technician

Scheduling Coordinator

Patient Access Rep (Clinic)

Patient Access Rep

Patient Access Representative_Patient Access Center

Patient Care Coordinator

Patient Access Technician U

Patient Services Coordinator

Patient Services Representative I (Temporary)

Patient Access Rep Clinic

Patient Access Technician

I want to receive the latest job alert for insurance verification in kent, wa

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