Providence is calling a Insurance Verification Authorization and Customer Support Specialist (0.0, Days) in the Revenue Capture at Providence Medical Group Northwest Washington in Everett, WA
The Insurance Verification and Authorization Specialist is responsible for securing appropriate patient account reimbursement by obtaining complex demographic, insurance, and medical information, identifying services requiring authorization for treatment and referral information. This role is responsible for adding proper documentation to reflect the work in Epic. In addition, effectively communicate with internal and external customers including medical providers, clinic staff, and insurance companies.
In this position you will:
Verification of insurance eligibility
Ensuring Admission Notification has been completed
Identifying services and payers requiring authorization and ensuring required authorizations are in place
Identifying services requiring a referral and ensuring it is in place
Ensuring Motor Vehicle Accident, Workers Compensation or other Third Party Liability paperwork has been completed
Process assigned denial work queues timely and accurately
Required qualifications for this position includes:
One (1) year of work experience in customer service, hospital billing, or healthcare registration
Clerical and computer experience
Knowledge of CPT and ICD9/ICD10 coding and medical terminology
Experience with MS Outlook, Word and Excel
Preferred qualifications for this position includes:
Some college level course work
Satisfactory completion of college level Medical Terminology or Medical Assistant course
One (1) year of healthcare experience in a hospital or clinical setting, health insurance or medical office.
Experience with Epic computer system, One Health Port and MIRA
About the clinic you will serve.
Providence Medical Group is a group of primary care, specialty care and hospital-based medical providers who serve Snohomish County in more than 10 locations in scenic northwest Washington. Our providers and staff strive to create a distinctive health care experience for each patient – one focused on trust, respect, communication and teamwork.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Schedule: On Call
Job Category: Patient Services
Req ID: 347018