Authorization Specialist - ENI

Job description

Wage Range: $23.72 - $37.95 per hour Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary: Expedites the administrative requirements for patient care, including clinical authorizations based on specialty provider orders, dealing directly with health plans. Makes decisions and authorizes risk planning referrals, utilizing department and organizational guidelines. Requires daily interaction with patients, staff, healthcare providers, and insurance companies. All job functions are carried out within the EvergreenHealth Medical Group clinic(s) to which assigned. Primary Duties: 1. Accurately and successfully processes authorizations for medications, procedures, imaging, infusions, surgeries, etc. ordered by clinic providers by working directly with health plans. 2. Minimizes care delays by avoiding denials and peer-to-peer...