COMPREHENSIVE HEALTHCARE
Location
Yakima, Washington
Salary
$17 - $26 / HOUR
The Authorization & Referral Specialist manages the full-spectrum coordination of client referrals, including the entry and tracking of authorizations in the electronic health record. They also interpret payer requirements and collaborate with clinical staff to ensure documentation supports medical necessity.
Candidates must have a high school diploma or GED and at least one year of experience in a healthcare setting. Additionally, one year of experience in insurance verification, prior authorizations, or revenue cycle functions is required.
High school diploma or equivalent is required. Minimum one (1) year of experience in a healthcare setting required Minimum one (1) year of experience in insurance verification, prior authorizations, or healthcare revenue cycle functions required.
Two (2) to three (3) years of experience in healthcare, authorizations, or utilization management strongly preferred. Knowledge of Medicare, Medicaid, and commercial insurance payer requirements. Experience working with prior authorizations across multiple service lines or programs. Ability to interpret insurance benefits, coverage limitations, and authorization requirements. Experience with electronic health records (EHR) and payer portals. Understanding of coordination of benefits and payer hierarchy Strong attention to detail and ability to analyze and resolve payer-related issues. What Comprehensive Healthcare Can Offer You Training and Development A variety of career opportunities in a wide range of settings with room for mobility and promotion Regular training opportunities including support, supervision, and consultation in implementing evidence-based services and programs Innovative Program & Services A strong reputation for providing quality, evidence-based services within a collaborative multi-disciplinary team environment Innovative, forward-looking leadership that seeks to thrive in an ever-changing healthcare environment Joint Commission-accredited organization committed to continuous quality improvement Established partnerships with major research universities and other community and healthcare providers to implement cutting-edge treatment programs and services Excellent Benefits Competitive salaries within our communities and industry Healthcare coverage for employee and qualified family members Generous vacation, paid holiday and sick leave policies Access to Employee Assistance Program services Agency-funded retirement plan with contributions equal to 5% of compensation Additional retirement investment opportunities with a 50% investment match of up to 4% of compensation Agency-funded life and disability insurance program Financial incentives to further employee education Equal Opportunity EmployerComprehensive Healthcare is proud to be an equal opportunity employer. We do not discriminate based on race, sex, age, color, religion, national origin, sexual orientation, gender identity or expression, marital status, veteran status, disability status, or any other basis prohibited by federal, state, or local law. We value the diverse perspectives and strengths that our employees bring to the workplace and we encourage individuals from underrepresented groups to apply for our positions.
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