We are searching for a remarkable Prior Authorization Specialist to join our passionate team at Virginia Mason Medical Center in Washington DC.
Growing your career as a Full Time Prior Authorization Specialist is an awesome opportunity to develop productive skills.
If you are strong in leadership, adaptability and have the right passion for the job, then apply for the position of Prior Authorization Specialist at Virginia Mason Medical Center today!
Overview Virginia Mason Franciscan Health brings together two award-winning health systems in Washington state, CHI Franciscan and Virginia Mason. As one integrated health system with the most patient access points in western Washington, our team includes 18,000 staff and nearly 5,000 employed physicians and affiliated providers. At Virginia Mason Franciscan Health, you will find the safest and highest quality of care provided by our expert, compassionate medical care team at 11 hospitals and nearly 300 sites throughout the greater Puget Sound region. While you're busy impacting the healthcare industry, we'll take care of you with benefits that include health/dental/vision, FSA, matching retirement plans, paid vacation, adoption assistance, annual bonus eligibility, and more!
Just as Virginia Mason is dedicated to improving the lives of our patients and our community, we are equally dedicated to your professional and personal success. With a wide range of perks that includes comprehensive compensation and benefits, continuing education and support, and the opportunity to live in one of the most livable cities in the country, you will find that an opportunity with Team Medicine is one worth taking. Virginia Mason Medical Center, was recognized among the Best Hospitals in Washington state by U.S. News & World Report. Located in Seattle, WA, Virginia Mason is an internationally recognized leader in the continuous improvement of health care. With an extensive list of awards and distinctions that includes our recognition as Top Hospital of the Decade by The Leapfrog Group, Virginia Mason offers you the opportunity to partner with exceptionally talented peers at every level. You will contribute to the strength of our Team Medicine approach to collaborative medicine and benefit from the changes enacted through our Virginia Mason Production System, a model that has transformed health care by providing patients with easier access to care, reducing errors, and continuously innovating patient safety and quality that has been adopted by other organizations here and abroad. Join us, and find out how many ways Virginia Mason offers you the chance to focus on what really matters - our patients.
We deliver inspired people to do meaningful work.
As a part of our organization, we currently offer the following additional benefits:
Competitive starting wages (DOE) and training to grow within the company Paid holidays, vacation and sick time Medical/Dental/Vision Insurance plans Flexible health spending accounts: DCFSA and FSA Health Savings Account - (HSA) for use with the high deductible health plan Short and long term disability programs Employer paid life insurance 401a and 403b retirement programs Tuition Assistance for career growth and development Bright Horizons programs for additional support with children, pets, dependent adults, and household needs Employee Assistance Program (EAP) for you and your family Voluntary Protection: Group Accident, Critical Illness, and Identify Theft Responsibilities - Work with multiple systems such as GE, Cerner, Image Cast, Mosaiq, auth tool and payer websites
- Call/navigate insurance websites for authorization requirements and obtain timely authorizations from various insurance companies
- Communicate with insurance carriers, both internal and external customers and patients via phone or written correspondence.
- Follow up on insurance determination and contact Provider sections and patients if services are denied by insurance
- Submit urgent add-ons (Last minute CPT code submissions to insurance)
- Trend reporting to supervisor to assure accurate capture of services needing authorization
- Verify insurance eligibility and benefits
- Responsible for selecting accurate medical records for patient safety and obtaining and validating demographic and insurance information.
- Responsible for providing all required medical information to insurance companies as necessary to facilitate the authorization process.
- File appeals as necessary
Qualifications Required:
- High School Diploma or GED.
- Demonstrated knowledge of medical terminology and basic familiarity with Current Procedural Terminology (CPT) and International Classification of Disease (ICD) and/or insurance billing background.
- Ability to analyze data given to provide the appropriate information to insurance companies.
- Understanding of revenue cycle functions such as admission, billing, payments and denials.
- Excellent communication skills both verbal and written.
- Preferred: 2+ years' experience in authorizations and/or insurance billing.
We are an equal opportunity/affirmative action employer.
Benefits of working as a Prior Authorization Specialist in Washington DC:
? Company offers great benefits
? Professional Development Opportunities
? Leading Industry Pay
