Patient Authorization & Referral Representative

About the role

We are seeking a dedicated Patient Authorization & Referral Representative to join our team. In this role, you will be responsible for verifying insurance benefits and eligibility for new referrals, performing monthly and weekly verifications for specific patient groups, and assisting in evaluating documentation for therapy coverage. You will also handle the creation of Cost Disclosure and benefits letters, manage patient and physician data entry, and ensure accurate documentation in patient electronic records.

This position is based in an infusion pharmacy/office setting. The role involves working with various technologies and requires a collaborative team player who is a quick learner, given the dynamic and challenging nature of the work.

This is a Contract to Hire position based out of Spokane Valley, WA.

This is a fully onsite position in Spokane Valley, WA.

This position is anticipated to close on Oct 7, 2026.

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 20,000 consultants and 5,000 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. We are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing® winner for both client and talent service.

Responsibilities

• Verify insurance benefits and eligibility for all new referrals.
• Perform monthly verification of DSHS coverage for long-term Medicaid patients and weekly verification for capitated Hospice patients.
• Assist in evaluating documentation to determine if patients meet criteria for therapy coverage.
• Gather and ensure the accuracy and completeness of forms and reports, addressing any omissions or errors.
• Create Cost Disclosure/Advance beneficiary notices for Medicare patients