Patient Authorization & Referral Representative

Patient Access Specialist

Are you passionate about supporting patients and ensuring they receive the care they need? Join our dedicated team where compassion meets excellence in healthcare.

What You'll Do :

• Verify insurance benefits and eligibility for all new referrals.
• Perform monthly DSHS coverage checks for long-term Medicaid patients and weekly verification for capitated Hospice patients.
• Review documentation to confirm therapy coverage criteria.
• Gather and validate information for accurate forms and reports; collaborate with staff to resolve errors and improve processes.
• Prepare cost disclosures and advance beneficiary notices for Medicare patients, and track signed forms.
• Generate benefits letters to inform patients of financial responsibility.
• Enter new patient and physician data into our software system, including therapy sessions and ICD-9 / ICD-10 codes.
• Obtain PCP referral requests and follow up as needed.
• Document payer and billing details in electronic health records.
• Secure initial pre-authorizations per insurance requirements.
• Verify physician licensure on an ongoing basis.
• Support and incorporate the mission of Sisters of Providence Health System in daily work.
• Participate in quality assurance and improvement initiatives.
• Conduct Medicare Part D eligibility and drug formulary checks.
• Prepare hospital charity agreements and manage patient financial assistance applications.

What We're Looking For :

Why Join Us?

You'll be part of a team that values collaboration, compassion, and continuous improvement. We offer a supportive work environment where your contributions make a real difference in patients' lives.

Job Type & Location

This is a Contract to Hire position based out of Spokane, WA.

Pay and Benefits

The pay range for this position is $22.00 - $22.00 / hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following :

Workplace Type

This is a fully onsite position in Spokane, WA.

Application Deadline

This position is anticipated to close on Nov 20, 2025.