Prior Authorization Specialist - UW Medicine Primary Care at Northgate

Prior Authorization Specialist - UW Medicine Primary Care at Northgate

Join to apply for the Prior Authorization Specialist - UW Medicine Primary Care at Northgate role at University of Washington

• Full‑time, 100% FTE (40 hours per week)
• Monday – Friday; 8am – 5pm
• Day Shift

UW Medicine Primary Care – Prior Authorization Team has an outstanding opportunity for a Patient Services Specialist 2 – Prior Authorization Specialist
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Conveniently located along I‑5 near the Northgate Transit Center, UW Medicine Primary Care at Northgate offers primary care appointments six days a week, including evenings and same‑day appointments. Board‑certified providers offer a complete spectrum of primary care services, including family medicine with obstetrics, geriatrics, behavioral health, travel medicine, nutrition services, reproductive health and sports medicine. An on‑site lab and digital X‑ray facilities are available.

• Help patients receive coverage for their medications
• Make a difference for the patients and employees we serve
• Opportunity to provide career growth

• Work with patients, referring/prescribing providers, specialty clinic providers and staff, Contact Center representatives and other appropriate individuals to facilitate referrals to the UW Medicine Health System and to process prior authorizations.
• Process referrals/prior authorizations in accordance with UW Medicine standards, ensuring all are processed within 1 day of the provider order and all relevant information is entered into Epic Care. Creates and pends referral orders according to network guidelines.
• Manage urgent referrals/prior authorizations to expedite the scheduling & communication with the receiving specialty department and/or 3rd party insurance company.
• Work with receiving clinic and/or referring/ordering provider to help facilitate the timely provision of care. Pre‑verify, submit required paperwork/supporting materials and receive authorization with third‑party insurance companies to assist in making referrals to specialty providers and/or processing prior authorizations.
• Utilize online insurance portals to verify benefits prior to processing referrals and/or authorizations and maintain familiarity with internal resources related to insurance contracting and requirements.
• Serve as a resource for patients and providers in understanding insurance requirements and/or limitations as they relate to referrals and medications that require prior authorization.

• High school graduation or equivalent AND
• One year of healthcare, administrative, or customer service experience
• OR, an equivalent combination of education/experience

Pay Range Minimum: $23.82 hourly
Pay Range Maximum: $34.66 hourly

Shift: First Shift (United States of America)
Temporary or Regular: This is a temporary position
FTE (Full‑Time Equivalent): 100.00%
Union/Bargaining Unit: SEIU 1199NW UWMC Northwest Service and Maintenance

For information about benefits for this position, visit https://(Use the "Apply for this Job" box below)./

The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.

To request disability accommodation in the application process, contact the Disability Services Office at 206‑543‑6450 or dso.

Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.