[Hiring] UM Appeals Follow-up Support Specialist @MultiCare Health System

Role Description

The UM Appeals Follow-up Support Specialist obtains service authorization, performs ongoing updates and assists with monitoring authorization compliance for Medicare and Non-Medicare funded services to ensure MultiCare receives appropriate authorization and financial reimbursement for provided care. This position will help support the UM department functions by performing pertinent research, evaluating and responding to clinical information requests and assisting with the completion of the appeals process and other inquiries in accordance with all established regulatory guidelines and department standards. Prepares appeal summaries and correspondence and documents information for tracking/trending data. Serves as a liaison with Medicare and with non-Medicare funding entities.

Qualifications

• High School or GED
• 1 year post High School business or college course work preferred
• Minimum two (2) years medical insurance, medical records or medical office experience required
• Medicare, State, Hospice, HMO, PPO and traditional insurance regulation experience preferred
• EPIC or electronic medical record experience preferred
• Experience in managed care desired

Benefits

• Rooted in the local community
• Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years.
• Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in you.
• Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared in your work and life.
• Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other.
• Resource Groups and outreach programs help ensure every team member feels safe, seen, heard and valued.
• Work and live where natural beauty, adventure and strong community connections are part of everyday life.

Company Description

We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $21.68 - $31.20 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant’s years of experience align.