Join a team that shares your calling
At MultiCare, you’re more than just a job title — you’re part of a team built on trust that cares for each other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions align with ours, you’ll find a place to grow, do meaningful work and build a career you love in a community that feels like home.
FTE: 1.0, Shift: Day, Schedule: Monday - Friday 8:30am - 5pm
Position Summary
The Insurance Verification Auth Specialist is responsible for securing financial clearance and completing pre-authorization for patients undergoing complex, high-dollar inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. This includes verifying insurance eligibility and benefits, validating referrals and prior authorizations, and submitting and monitoring authorization requests in accordance with MultiCare Health System’s productivity and quality standards.
The Specialist serves as a key resource on insurance plan guidelines and authorization processes, collaborates with referring providers to resolve pre-service authorization denials, and communicates Advance Beneficiary Notice (ABN) requirements when applicable. This role requires the ability to interpret medical guidelines, payer policies, and benefit structures to ensure accurate financial clearance and support the efficient delivery of specialized healthcare services.
The Specialist also acts as a functional expert across Patient Access and clinical teams, contributing to best practices in financial coordination and patient care access. Responsibilities:
Secure pre-authorizations from insurance companies for a broad range of complex, high dollar healthcare services including inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services.
Respond to clinical inquiries through insurance portals to support timely authorization approvals.
Review medical records and supporting documentation to ensure complete and accurate submission for ordered services.
Evaluate and process medical authorization requests efficiently to facilitate uninterrupted patient care.
Communicate effectively with healthcare providers, insurance carriers, and patients to gather and relay information necessary for authorization decisions.
Meet established daily productivity standards to maintain operational efficiency and accuracy in authorization workflows.
Perform essential registration tasks such as loading insurance details, filing orders, and verifying eligibility
Maintain a high level of accuracy to reduce the risk of insurance claim denials and ensure financial clearance for patients.
Serve as a subject matter expert on referrals, authorizations, and insurance plan guidelines within the MultiCare Health System.
Requirements:
Minimum two (2) years of experience working complex, high dollar prior-authorizations, referral coordination for relevant service lines, or in insurance billing, admitting, or registration within a healthcare setting
Customer service experience in healthcare
Proficiency in medical terminology, validated by examination
Experience reviewing medical policies and interpreting CPT and HCPCS codes in alignment with payer guidelines
Completion of a health vocational program (e.g., Medical Assistant, Medical Billing & Insurance) preferred
One (1) year of post-secondary business or college coursework preferred
Certification from the National Association of Healthcare Access Management (NAHAM) preferred
Why MultiCare?
Rooted in the local community
Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
Growth and education
Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
Well-being and support
Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and…