[Hiring] Complex Authorization Team Coordinator @Seattle Children's

Role Description

Meet payor authorization requirements to ensure maximum reimbursement for a variety of complex services. Assess the family and organizational financial liability for services requested for patients who live outside of the WAMI region, including Out of Country patients with insurance. Determine requirements for financial clearance, educate families, clinic staff, contracting and providers of options; execute and coordinate actions needed to schedule patients.

Qualifications

• While this role is remote, the candidate must be physically based in WA State.
• High school diploma or equivalent experience.
• Four (4) years of experience with progressive responsibility in a role involving or related to:
  • Patient registration and scheduling
  • Financial counseling
  • Meeting insurance company requirements for prior authorization of outpatient and inpatient services
• A combination of applicable experience and college-level coursework in lieu of a total of four years of experience.
• Preferred: Bachelor of Arts or higher in a related field.
• Two or more years of experience processing prior authorizations with demonstrated ability to problem-solve complex insurance authorization, benefit, and coverage situations.
• Familiarity with other cultures/bilingual skills.

Requirements

• N/A

Benefits

• Seattle Children’s offers a generous benefit package, including:
  • Medical, dental, and vision plans
  • 403(b)
  • Life insurance
  • Paid time off
  • Tuition reimbursement
  • And more
• Additional details on our benefits can be found on our website: www.seattlechildrens.org/careers/benefits

Company Description

Hope. Care. Cure. These three simple words capture what we do at Seattle Children’s – to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all?

• Our founding promise to the community is to care for all children in our region, regardless of the families’ ability to pay.
• We deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent academic medical center for Washington, Alaska, Montana, and Idaho.
• U.S. News & World Report consistently ranks Seattle Children’s among the nation’s best children’s hospitals.
• As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care.
• Our core values include Compassion, Excellence, Integrity, Collaboration, Equity, and Innovation.
• Seattle Children’s is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.