Authorizations & Referrals Specialist, Patient Access Shift

Authorizations & Referrals Specialist, Patient Access, Full Time, Variable Shift

Be among the first 25 applicants.

Island Health is searching for an experienced Authorizations & Referrals Specialist for our Patient Access department at our hospital in Anacortes, WA.

Job Details:

Work Schedule:

Full Time, Variable Shift.

Salary Ranges: $20.41 – $30.61.

Whether you’re a new grad or experienced in your field and considering a change, we invite you to explore a wide range of careers at Island Health with exceptional benefits.

• Medical, Vision, & Dental Insurance
• Paid Time Off
• Extended Illness Benefit
• Life Insurance
• Long-Term Disability
• Vested Retirement Contribution
• Flexible Spending Account
• Tuition Reimbursement
• Employee Assistance Program
• Employee Recognition Events
• And More!

• Completes referral and authorization processes with ICD-10 and CPT codes, pertinent documentation and Diagnostic information.
• Verifies active primary insurance coverage in electronic worklists.
• Documents chart notes and confirmation of service in EMR.
• Facilitates routing and release of patient record and other information to Scheduler.
• Discusses and clarifies insurance coverage and problems with referrals with patients.
• Verifies ordered services meet CMS Medical Necessity requirements.
• Sends patients notes of approval/denial of referral or authorization when applicable.
• Work patient electronic worklists daily.
• Works collaboratively with team to assure referrals are processed timely.
• Keeps abreast of new insurance and payer information, contractual updates, or developments as provided.
• Must have demonstrated ability to interact positively with Administration, Director, Managers, Supervisors, peers, co-workers, subordinates, patients and visitors.
• Must meet regular attendance standard and stay at or below average sick leave utilization levels.
• Employee will function at all times within guidelines established in the Island Hospital HIPAA Compliance Policy and Confidentiality agreements.

• High School diploma or GED required.
• Must maintain expectations outlined in work from home agreement.
• Additional education or training in ICD-10 Coding encouraged.

While performing the duties of this position, the employee is exposed to indoor environmental conditions. The employee may be exposed to dust, pollen, pollutants, fumes and communicable diseases related to a health care environment. The noise level in the work environment is usually moderate.

Physical demands include talking, hearing sufficiently to understand conversations, sitting for potentially long periods, manual dexterity of hands and fingers to handle a keyboard, sometimes standing, walking, climbing or balancing, stooping, kneeling, crouching, lifting or moving up to 25 pounds and use of hands to grip, hold, or manipulate objects, and using vision for close, distance, peripheral, depth perception and focus for computer systems.

Reasonable accommodation can be made to enable people with disabilities to perform essential functions.

Join our award-winning team and apply today!