Job Title

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: DayPosition SummaryThe Insurance Verification Auth Specialist is responsible for securing financial clearance and completing pre-authorization for patients undergoing complex, high-dollar inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. This includes verifying insurance eligibility and benefits, validating referrals and prior authorizations, and submitting and monitoring authorization requests in accordance with MultiCare Health System's productivity and quality standards.The Specialist serves as a key resource on insurance plan guidelines and authorization processes, collaborates with referring providers to resolve pre-service authorization denials, and communicates Advance Beneficiary Notice (ABN) requirements when applicable. This role requires the ability to interpret medical guidelines, payer policies, and benefit structures to ensure accurate financial clearance and support the efficient delivery of specialized healthcare services.The Specialist also acts as a functional expert across Patient Access and clinical teams, contributing to best practices in financial coordination and patient care access.Essential FunctionsSecure pre-authorizations from insurance companies for a broad range of complex, high dollar healthcare services including inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services.Respond to clinical inquiries through insurance portals to support timely authorization approvals.Review medical records and supporting documentation to ensure complete and accurate submission for ordered services.Evaluate and process medical authorization requests efficiently to facilitate uninterrupted patient municate effectively with healthcare providers, insurance carriers, and patients to gather and relay information necessary for authorization decisions.Meet established daily productivity standards to maintain operational efficiency and accuracy in authorization workflows.Perform essential registration tasks such as loading insurance details, filing orders, and verifying eligibilityMaintain a high level of accuracy to reduce the risk of insurance claim denials and ensure financial clearance for patients.Serve as a subject matter expert on referrals, authorizations, and insurance plan guidelines within the MultiCare Health System.RequirementsMinimum two (2) years of experience working complex, high dollar prior-authorizations, referral coordination for relevant service lines, or in insurance billing, admitting, or registration within a healthcare settingCustomer service experience in healthcareProficiency in medical terminology, validated by examinationExperience reviewing medical policies and interpreting CPT and HCPCS codes in alignment with payer guidelinesCompletion of a health vocational program (e.g., Medical Assistant, Medical Billing & Insurance) preferredOne (1) year of post-secondary business or college coursework preferredCertification from the National Association of Healthcare Access Management (NAHAM) preferredOur ValuesAs a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. 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?