Authorizations & Referrals Specialist - Per Diem / Days

Job Summary

At Island Health, we're seeking an Authorizations and Referrals Specialist to play a crucial role in supporting the continuity of patient care. This position focuses on coordinating insurance referral and authorization processes, ensuring smooth transitions between primary and tertiary healthcare settings.

Location

Anacortes, WA

Schedule

Per Diem / Days

Salary Range

$20.41 – $30.61 per hour

What You Will Be Doing

• 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 to assist the patient with their appointment.
• 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.
• Works 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.

Requirements

• High School diploma or GED required.
• Additional education or training in ICD-10 Coding encouraged.
• Previous experience working in a Physician Practice or authorizations position strongly preferred.
• The ability to prioritize efficiently, careful attention to detail, problem-solving and time management skills.
• A working knowledge of claims processing, medical terminology, and CPT & ICD-10 coding.
• Strong computer and time management skills.
• Demonstrated interpersonal, customer service, and organizational skills.
• The ability to effectively multi-task.