Complex Authorization Team Coordinator
About The Position
Meet payor authorization requirements to ensure maximum reimbursement for a variety of complex services. Assess the family and organizational financial liability for services requested for patients who live outside of the WAMI region, (Washington, Alaska, Montana or Idaho) including Out of Country patients with insurance. Determine requirements for financial clearance, educate families, clinic staff, contracting and providers of options; execute and coordinate actions needed to schedule patients. This is a hybrid remote position and must be based in Washington state.
Requirements
- High school diploma or equivalent experience.
- Four (4) years of experience with progressive responsibility in a role involving or related to patient registration and scheduling, financial counseling, or meeting insurance company requirements for prior authorization of outpatient and inpatient services, or a combination of applicable experience and college-level coursework in lieu of a total of four years of experience.
Nice To Haves
- Bachelor of Arts or higher in a related field.
- Two or more years of experience processing prior authorizations with demonstrated ability to problem solve complex insurance authorization, benefit and coverage situations.
- Familiarity with other cultures/bilingual skills.
Responsibilities
- Meet payor authorization requirements to ensure maximum reimbursement for a variety of complex services.
- Assess the family and organizational financial liability for services requested for patients who live outside of the WAMI region, (Washington, Alaska, Montana or Idaho) including Out of Country patients with insurance.
- Determine requirements for financial clearance, educate families, clinic staff, contracting and providers of options
- execute and coordinate actions needed to schedule patients.
Benefits
- Seattle Children’s offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more.
- Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
501-1,000 employees
