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Company Contact Info

  • Seattle, WA 98104
  • Nina Bondarchuk
  • Phone: 2064413837
  • Phone:: (206) 624-1830

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Healthcare Utilization Representative needed!

AppleOne • Seattle, WA

Posted 12 days ago

Job Snapshot

Full-Time
Degree - None
$18.00 /Hour
Other Great Industries
Other

Job Description

In need of someone that has come out of a payer provider environment, claims, financial counseling or authorizations. Someone that also might have experience coming out of the healthcare industry or an administrative assistant will do great too.

Job Description:

•M-F 8am-5pm
•Large organization with lots of needs and opportunities.
•We provide an ORCA card for transportation.
•Office is located across the street from main Seattle transportation hub.
•Responsible for coordinating cases for precertification and prior authorization review
•Managing incoming calls or incoming post services claims work.
•Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service requests.
•Refers cases requiring clinical review to a Nurse reviewer
•Need people who can work within multiple applications, answer phones, process information, enter data accurately - THIS IS CRITICAL to avoid any type of rework.
•Start with processing work out of a queue, but then will introduce phones.
•Significant training to make sure comfortable before being on their own.
•No standard volume.
•15-20 authorizations a day - focus on accuracy.

Qualifications:
•Data entry accuracy is VITAL
•High school diploma or GED minimum
•2+ year of relatable experience
•Proficient analytical, written and oral communication skills
•Medical terminology training and experience in medical or insurance field preferred.
We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, age (40 and over), gender identity, national origin, protected veteran status, disability or any other protected classification under federal and state law.
Job ID: NM-[01].131825
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