Remote New

Referral Authorization Coordinator

MultiCare Health System
paid time off
United States
Nov 16, 2024
You Belong Here. At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve. FTE: 1.0, Shift: Day, Schedule: N40 Position Summary The Referral Auth Coordinator is responsible for expediting the administrative requirements of patient referrals between participating providers and patient health plans. This position also serves as liaison between medical providers and injured workers for coordination and expertise regarding case treatment plan, outcome, and problem areas, and makes recommendations to facilitate case management goals. Responsibilities: Communicates with company contacts regarding workers compensation and occupational medicine needs while responding to calls from employers, providers, and staff members Gathers necessary clinical information to process referrals, pre-certifications, pre-determinations, or prior authorizations according to insurance plan requirements Logs, tracks and reviews managed care approvals and denials Verifies insurance coverage and benefits, and creates price estimates and reverifications as needed Schedules and pre-registers patients for appointments Requirements: High school graduate or equivalent One (1) year of post high school business or college course work preferred Two (2) years of customer experience in admitting, billing, or registration in a medical or insurance setting Experience with CPT and ICD coding in managed care preferred Our Values As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration, Kindness and Joy. Our values 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. Why MultiCare? Belonging: We work to create a true sense of belonging for all our caregivers Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve Market leadership: Washington state's largest community-based, locally governed health system Employee-centric: Named Forbes "America's Best Employers by State" in 2023 Technology: "Most Wired"health caresystem 15 years in a row Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn. 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 $21.25 - $30.59 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. Associated benefit information can be viewed here.