PNW PACE Authorization Specialist

Join A Team That Shares Your Calling

At MultiCare, you're more than just a job title you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you'll find a place to grow, do meaningful work and build a career you love in a community that feels like home.

FTE: 1.0, Shift: Day, Schedule: M-F 8:00-4:30pm

Position Summary

The Authorization/Insurance Verification Specialist is responsible for managing authorizations, insurance and referrals for Multicare Ambulatory providers. Responsibilities include verification of insurance information (eligibility and benefits), referral management, submitting and monitoring of pre-authorizations, determines medical necessity and identifies any coverage concerns and works with providers and billing to resolve authorization denials. Other responsibilities include completing pre-registration as required by patient type and anticipated service. Incumbents work with staff and management throughout the revenue cycle, clinical teams, providers as well as representatives from insurance carriers and government agencies.

Requirements

• One (1) year of post high school business or college course work preferred
• National Association of Healthcare Access Management Certification (NAHAM) preferred
• Two (2) years of pre-authorization or referral coordinator experience
• OR Two (2) years of experience processing incoming claims or pre-authorization requests for an insurance payor
• OR Two (2) years insurance billing, admitting, or registration experience in a hospital or medical office
• OR Graduate of a health vocational program such as Medical Assistant, or Medical Billing & Insurance, and 1-year experience in healthcare AND Minimum two (2) years of experience in dealing with the public in a customer service role
• Medical Terminology proficiency by examination

Why MultiCare?

Rooted in the local community

Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.

Growth and education

Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.

Well-being and support

Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.

Living our values

Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.

Belonging for all

Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.

Pacific Northwest lifestyle

Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Pay And Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $23.20 - $33.38 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.