Prior Authorization Specialist

2018 Top 25 Best Places To Work In Inland NW!

Job Location: Spokane Valley, WA

 

Position Summary:

Responsibilities include performing daily prior authorization functions for hospital, clinic and ancillary services. The main job function of the role is to verify eligibility, obtain insurance benefits, and ensure pre-certification, authorization, and referral requirements are met within the client’s timeline prior to services. This position holds additional duties with respect to research and analysis.

 

What HRG Offers:

  • Competitive compensation and referral bonuses

  • Career growth opportunities

  • Employee ownership

  • HRG paid retirement plan through Employee Stock Ownership Plan

  • Medical / Dental / Vision / Life / HSA / Supplemental / Wellness Program

  • Paid time off, sick days and paid holidays

  • Merchant discounts

Responsibilities: 

  • Verify eligibility within client’s specified timeline

  • Obtain insurance benefits information

  • Ensure pre-certification, authorization, and referral requirements are met

  • Provide detailed and timely communication to both payers, HRG team management and HRG partners

  • Document the appropriate information in the patient's record

Qualifications: 

  • Prior authorization experience

  • High attention to detail

  • Knowledge in MS Office; Excel

  • Proficient with data entry and multi-tasking

  • Effective verbal and written communication skills

  • Proficient with 10-key

  • Strong teamwork skills

  • Critical thinking and problem solving abilities

  • Responsible, reliable and accountable

 

Ready to join our team?