Offer summary

Qualifications:

Bachelor’s degree required., Five years of experience in Access Services, Pre-Service, Referral Management, or related fields., Three years of supervisory or training experience., Strong understanding of referral management and complex authorization processes..

Key responsibilities:

Supervise daily operations and staff for financial clearance and complex authorization activities.

Engage with payor representatives to improve authorization and reimbursement practices.

Collaborate with clinical teams and providers to maintain effective referral and authorization processes.

Lead service line calls to ensure financial clearance for upcoming treatments.

Job description

You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.

FTE: 1.0, Shift: Day, Schedule: Day

Position Summary

The Supervisor of Insurance Verification/Authorizations is responsible for supervision of staff accountable for identifying and securing financial resources for healthcare services system wide requiring complex authorizations, insurance verification and precertification services. The Supervisor is expected to understand referral management/processing as a foundation to the more complex, high-dollar authorization process, is accountable for ensuring the highest levels of quality for all authorizations, insurance verifications, performance levels, and efficiency standards implemented and maintained; ensures industry best practices and workflows are created and implemented system wide to minimize payment denials and increase patient experience; researches and analyzes denied services and trains and develops frontline staff to successfully perform their duties to meet department specific and MultiCare goals.

Essential Functions

Direct supervision and management of daily operations and staff responsible for financial clearance and complex authorization activity for high dollar services within the MultiCare Health System.
Attend and participate in meetings related to business operation improvements of referral and authorization management.
Engage in routine conversations with payor representatives to streamline authorization and reimbursement practices.
Collaborate with system leaders, clinical teams, and providers to create and maintain highly effective and accurate referral and authorization processes.
Lead daily service line calls with system wide care teams to ensure financial clearance for all upcoming treatment series.
Denial management and prevention.
Is expected to model and cultivate staff behaviors that achieve business success, including leadership skills, collaboration, accountability, and ownership.

Requirements

Bachelor’s degree required.
Five (5) years of experience in Access Services, Pre-Service, Referral Management, Scheduling, Specialty and/or Sur.gery Prior Authorizations, and/or Registration required.
Three (3) year supervisory and/or lead and/or training experience.
Consideration may be given to internal candidates not meeting the minimum qualifications

Our Values

As a MultiCare employee, we'll rely on you to reflect our core values of Respect, Integrity, Stewardship, Excellence, Collaboration and Kindness. Our values serve as our guiding principles and impact every aspect of our organization, including how we provide patient care and what we expect from each other.

Why MultiCare?

Belonging: We work to create a true sense of belonging for all our employees
Mission-driven: We are dedicated to our mission of partnering for healing and a healthy future and the patients and communities we serve
Market leadership: Washington state's largest community-based, locally governed health system
Employee-centric: Named Forbes “America’s Best Employers by State” for several years running
Technology: "Most Wired" health care system 15 years in a row
Leading research: MultiCare Institute for Research & Innovation, 40 years of ground-breaking, clinical and health services research in our communities
Lifestyle: Live and work in the Pacific Northwest - offering breathtaking water, mountains and forest at every turn

Pay and Benefit Expectations

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $76,710.00 - $110,365.00 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.

Associated benefit information can be viewed here.

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