FHLB Des Moines
Prior Authorization Specialist - UW Medicine Primary Care at Northgate
FHLB Des Moines, Seattle, Washington, us, 98127
**Job Description****UW Medicine Primary Care - Prior Authorization Team** has an outstanding opportunity for a **Patient Services Specialist 2- Prior Authorization Specialist.**
**WORK SCHEDULE*** Full-time, 100% FTE (40 hours per week)* Monday - Friday; 8am-5pm* Day Shift**DEPARTMENT DESCRIPTION**Conveniently located along I-5 near the Northgate Transit Center, UW Medicine Primary Care at Northgate offers primary care appointments six days a week, including evenings and same-day appointments.Board-certified providers offer a complete spectrum of primary care services, including family medicine with obstetrics, geriatrics, behavioral health, travel medicine, nutrition services, reproductive health and sports medicine. An on-site lab and digital X-ray facilities are available to you.**POSITION HIGHLIGHTS*** Help patients receive coverage for their medications* Make a difference for the patients and employees we serve* Opportunity to provide career growth**PRIMARY JOB RESPONSIBILITIES*** Work with patients, referring/prescribing providers, specialty clinic providers and staff, Contact Center representatives and other appropriate individuals to facilitate referrals to the UW Medicine Health System and to process prior authorizations* Process referrals/prior authorization in accordance with UW Medicine standards, ensuring all are processed within 1 day of the provider order and all relevant information is entered into EpicCare. Creates and pends referral orders according to network guidelines* Manage urgent referrals/prior authorizations to expedite the scheduling & communication with the receiving specialty department and / or 3rd party insurance company.* Work with receiving clinic and/or referring/ordering provider to help facilitate the timely provision of care. Pre-verify, submit required paperwork/supporting materials and receive authorization with third party insurance companies to assist in making referrals to specialty providers and/or processing prior authorizations.* Utilize online insurance portals to verify benefits prior to processing referrals and/or authorizations and maintain familiarity with internal resources related to insurance contracting and requirements.* Serve as a resource for patients and providers in understanding insurance requirements and/or limitations as they relate to referrals and medications that require prior authorization**REQUIREMENTS*** High school graduation or equivalent AND* One year of healthcare, administrative, or customer service experience* OR, an equivalent combination of education/experience**ABOUT UW MEDICINE PRIMARY CARE**UW Medicine Primary Care is a network of clinics located throughout the Puget Sound region. The clinics offer a wide spectrum of primary care services, as well as secondary care, from pediatrics to geriatrics. Urgent care services are offered seven days a week at select locations.UW Medicine Primary Care is dedicated to improving the health of the public; our providers and staff are the cornerstones of our success. The foundation of our efforts to deliver exceptional care to our patients and families begins with our focus on the continuous development of our employees.**ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER**UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.Join our mission to make life healthier for everyone in our community.**Compensation, Benefits and Position Details****Pay Range Minimum:**$23.82 hourly**Pay Range Maximum:**$34.66 hourly**Other Compensation:**-**Benefits:**For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-temporary-per-diem-and-less-than-half-time/**Shift:**First Shift (United States of America)This is a temporary position**FTE (Full-Time Equivalent):**100.00%**Union/Bargaining Unit:**SEIU 1199NW UWMC Northwest Service and Maintenance**About the UW**Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.**Our Commitment**The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with .To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under .### BenefitsThere are many perks to working for the University of Washington. Learn more about the
that could be available to you as a UW employee. #J-18808-Ljbffr
**WORK SCHEDULE*** Full-time, 100% FTE (40 hours per week)* Monday - Friday; 8am-5pm* Day Shift**DEPARTMENT DESCRIPTION**Conveniently located along I-5 near the Northgate Transit Center, UW Medicine Primary Care at Northgate offers primary care appointments six days a week, including evenings and same-day appointments.Board-certified providers offer a complete spectrum of primary care services, including family medicine with obstetrics, geriatrics, behavioral health, travel medicine, nutrition services, reproductive health and sports medicine. An on-site lab and digital X-ray facilities are available to you.**POSITION HIGHLIGHTS*** Help patients receive coverage for their medications* Make a difference for the patients and employees we serve* Opportunity to provide career growth**PRIMARY JOB RESPONSIBILITIES*** Work with patients, referring/prescribing providers, specialty clinic providers and staff, Contact Center representatives and other appropriate individuals to facilitate referrals to the UW Medicine Health System and to process prior authorizations* Process referrals/prior authorization in accordance with UW Medicine standards, ensuring all are processed within 1 day of the provider order and all relevant information is entered into EpicCare. Creates and pends referral orders according to network guidelines* Manage urgent referrals/prior authorizations to expedite the scheduling & communication with the receiving specialty department and / or 3rd party insurance company.* Work with receiving clinic and/or referring/ordering provider to help facilitate the timely provision of care. Pre-verify, submit required paperwork/supporting materials and receive authorization with third party insurance companies to assist in making referrals to specialty providers and/or processing prior authorizations.* Utilize online insurance portals to verify benefits prior to processing referrals and/or authorizations and maintain familiarity with internal resources related to insurance contracting and requirements.* Serve as a resource for patients and providers in understanding insurance requirements and/or limitations as they relate to referrals and medications that require prior authorization**REQUIREMENTS*** High school graduation or equivalent AND* One year of healthcare, administrative, or customer service experience* OR, an equivalent combination of education/experience**ABOUT UW MEDICINE PRIMARY CARE**UW Medicine Primary Care is a network of clinics located throughout the Puget Sound region. The clinics offer a wide spectrum of primary care services, as well as secondary care, from pediatrics to geriatrics. Urgent care services are offered seven days a week at select locations.UW Medicine Primary Care is dedicated to improving the health of the public; our providers and staff are the cornerstones of our success. The foundation of our efforts to deliver exceptional care to our patients and families begins with our focus on the continuous development of our employees.**ABOUT UW MEDICINE – WHERE YOUR IMPACT GOES FURTHER**UW Medicine is Washington’s only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine’s mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow’s physicians, scientists and other health professionals.All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.Join our mission to make life healthier for everyone in our community.**Compensation, Benefits and Position Details****Pay Range Minimum:**$23.82 hourly**Pay Range Maximum:**$34.66 hourly**Other Compensation:**-**Benefits:**For information about benefits for this position, visit https://www.washington.edu/jobs/benefits-for-temporary-per-diem-and-less-than-half-time/**Shift:**First Shift (United States of America)This is a temporary position**FTE (Full-Time Equivalent):**100.00%**Union/Bargaining Unit:**SEIU 1199NW UWMC Northwest Service and Maintenance**About the UW**Working at the University of Washington provides a unique opportunity to change lives – on our campuses, in our state and around the world.UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.**Our Commitment**The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with .To request disability accommodation in the application process, contact the Disability Services Office at 206-543-6450 or dso@uw.edu.Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under .### BenefitsThere are many perks to working for the University of Washington. Learn more about the
that could be available to you as a UW employee. #J-18808-Ljbffr