Talent.com
Patient Authorization & Referral Representative

Patient Authorization & Referral Representative

TEKsystemsSpokane Valley, WA, United States
1 day ago
Job type
  • Full-time
Job description
  • Description :
  • Verifies insurance benefits and eligibility on all new referrals.
  • Performs monthly verification of DSHS coverage for long term Medicaid patients and weekly verification for capitated
  • Hospice patients.

    • Assist in evaluation of documentation to determine if patient meets criteria for coverage of therapy.
    • Gather necessary information to assure accuracy and completeness of forms and reports; Work with management and staff
    • to correct omissions, errors, office systems problems, etc.

    • Responsible for creating Cost Disclosure / Advance beneficiary notices for Medicare patients and tracking for signed form.
    • Responsible for generating benefits letter to inform patient / responsible party of financial responsibility and sending to
    • patient.

    • Responsible for entering new patient and physician date into the software database, including new therapy sessions on
    • existing patients; Enter ICD-9 / ICD-10 codes as needed.

    • Obtain PCP referral request and follow-up.
    • Document appropriately in patient electronic record regarding payer / billing information.
    • Obtain initial pre-authorizations as required by insurance plans.
    • Verification of physician licensure on an ongoing basis.
    • Support and incorporate Sisters of Providence Health System Mission into daily activities.
    • Participate in QA / QI.
    • Responsible for performing Medicare Part D eligibility and drug formulary checks.
    • Prepare hospital charity agreements and send and track patient financial assistance applications.
    • Skills & Qualifications :
    • One year+ reimbursement experience
    • One year+ verification / insurance benefits
    • Ability to type quickly and accurately.
    • Ability to communicate effectively both written and orally.
    • General computer knowledge and skills, including word processing, spreadsheets and database software.
    • Knowledge of office equipment.
    • Knowledge of medical terminology.
    • Customer service skills.
    • Knowledge of medical reimbursement.
    • High school diploma / GED
    • We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected classification.

      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. This temporary role may be eligible for the following :

    • Medical, Dental & Vision
    • 401(k) / Roth
    • Basic / Supplemental Life & AD&D
    • Short and long-term disability
    • HSA & DCFSA
    • Transportation benefits
    • Employee Assistance Program
    • Company Paid Time off or State Sick Leave
    • Job Type & Location
    • This is a Contract to Hire position based out of Spokane Valley, 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 :

    • Medical, dental & vision
    • Critical Illness, Accident, and Hospital
    • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
    • Life Insurance (Voluntary Life & AD&D for the employee and dependents)
    • Short and long-term disability
    • Health Spending Account (HSA)
    • Transportation benefits
    • Employee Assistance Program
    • Time Off / Leave (PTO, Vacation or Sick Leave)
    • Workplace Type
    • This is a fully onsite position in Spokane Valley,WA.

    • Application Deadline
    • This position is anticipated to close on Nov 14, 2025.

      h4>

      About TEKsystems :

      We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

      The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

      About TEKsystems and TEKsystems Global Services

      We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

      The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

    Create a job alert for this search

    Patient Representative • Spokane Valley, WA, United States

    Related jobs
    • Promoted
    Outpatient Registered Nurse - RN

    Outpatient Registered Nurse - RN

    Fresenius Medical CareDeer Park, Washington, US
    Full-time
    The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the provision and co...Show moreLast updated: 30+ days ago
    • Promoted
    RN - Labor and Delivery

    RN - Labor and Delivery

    ProvidenceCheney, WA, US
    Full-time +1
    Up to $15,000 Hiring Bonus for eligible rehires and external hires that meet required qualifications and conditions for payment. This posting is for multiple openings of RN - Labor and Delivery at P...Show moreLast updated: 11 days ago
    • Promoted
    Patient Authorization & Referral Representative

    Patient Authorization & Referral Representative

    TEKsystemsSpokane Valley, WA, United States
    Full-time
    Verifies insurance benefits and eligibility on all new referrals.Performs monthly verification of DSHS coverage for long term Medicaid patients and weekly verification for capitated.Assist in evalu...Show moreLast updated: 2 days ago
    • Promoted
    • New!
    Patient Authorization & Referral Representative

    Patient Authorization & Referral Representative

    Veterans StaffingSpokane, WA, US
    Full-time
    Are you passionate about supporting patients and ensuring they receive the care they need? Join our dedicated team where compassion meets excellence in healthcare. Verify insurance benefits and elig...Show moreLast updated: 17 hours ago
    • Promoted
    Centralized Patient Access Representative II - Specialty

    Centralized Patient Access Representative II - Specialty

    MultiCareSpokane, WA, US
    Full-time
    Centralized Patient Access Representative II.At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meanin...Show moreLast updated: 10 days ago
    • Promoted
    Telemedicine Physician

    Telemedicine Physician

    QuickMDNewman Lake, WA, US
    Full-time
    QuickMD is a leading telemedicine provider, delivering high-quality virtual care across 44 states.Since our founding in 2019, we have helped more than 100,000 patients access essential medical trea...Show moreLast updated: 30+ days ago
    • Promoted
    Border Patrol Agent - Experienced - Recruitment Incentives

    Border Patrol Agent - Experienced - Recruitment Incentives

    U.S. Customs and Border ProtectionSpringdale, WA, United States
    Full-time
    Border Patrol Agent (BPA) - Experienced (GL-9 GS-11).Check out these higher-salaried federal law enforcement opportunities with the U. Your current or prior law enforcement experience may qualify yo...Show moreLast updated: 30+ days ago
    • Promoted
    Border Patrol Agent - Entry Level

    Border Patrol Agent - Entry Level

    Customs and Border ProtectionSpringdale, WA, US
    Full-time
    Border Patrol Agent (BPA) GL-5 / 7 grade levels \n\n.IMPORTANT NOTICE : Duty assignments available at the time of offer may include the Southwest Border, including prioritized locations.Border Patrol ...Show moreLast updated: 17 days ago
    • Promoted
    Patient Authorization and Referral Representative

    Patient Authorization and Referral Representative

    ProvidenceSpokane Valley, WA, United States
    Full-time
    This position is responsible for front-end reimbursement duties, providing phone and clerical support to the clinical component of home infusion. Other responsibilities include entering patient refe...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Physical Therapist (PT) - $1,734 per week in Post Falls, ID

    Travel Physical Therapist (PT) - $1,734 per week in Post Falls, ID

    AlliedTravelCareersPost Falls, ID, US
    Full-time
    AlliedTravelCareers is working with Triage Staffing LLC to find a qualified Physical Therapist (PT) in Post Falls, Idaho, 83854!. Travel Rehab : Physical Therapy Post Falls.Shift Details : 10H Days ...Show moreLast updated: 30+ days ago
    • Promoted
    Integrated Behavioral Health Clinician - Primary Care

    Integrated Behavioral Health Clinician - Primary Care

    Providence Health and ServicesCheney, WA, US
    Full-time
    This is a combined posting for an Mental Health Therapist, Mental Health Therapist LMFT, Professional Counselor, Licensed Professional Counselor, Social Worker MSW, and Social Worker LCSW.The requi...Show moreLast updated: 24 days ago
    • Promoted
    Centralized Patient Access Representative III - Imaging

    Centralized Patient Access Representative III - Imaging

    Washington StaffingSpokane, WA, US
    Full-time
    Centralized Patient Access Representative III.At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meani...Show moreLast updated: 2 days ago
    • Promoted
    RN - ICU

    RN - ICU

    ProvidenceCheney, WA, US
    Full-time
    Registered Nurse (RN) – ICU at Providence Sacred Heart Medical Center – Spokane, WA.Up to $20,000 hiring bonus for eligible external hires that meet required qualifications and conditio...Show moreLast updated: 11 days ago
    • Promoted
    LIFEGUARD (FILL-IN)

    LIFEGUARD (FILL-IN)

    Marimn HealthWorley, ID, US
    Full-time
    Come work for Marimn Health - voted one of the Best Places to Work in the Inland Northwest every year since 2018 and Modern Healthcare's Family Friendliest Employer in 2020!.Fantastic benefits,...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Patient Service Representative

    Patient Service Representative

    Veterans StaffingSpokane, WA, US
    Full-time
    Patient Authorization & Referral Representative.A Division of one of the Top Healthcare Providers in the Pacific Northwest is interested in hiring a Patient Authorization & Referral Representative ...Show moreLast updated: 17 hours ago
    • Promoted
    Travel Nurse - LPN - Corrections

    Travel Nurse - LPN - Corrections

    Axis Medical StaffingAirway Heights, WA, US
    Full-time
    Axis Medical Staffing is seeking an experienced Corrections Licensed Practical Nurse for an exciting Travel Nursing job in Airway Heights, WA. Shift : Inquire Start Date : 11 / 17 / 2025 Duration : 13 week...Show moreLast updated: 8 days ago
    • Promoted
    Border Patrol Agent - Experienced - Up to 30k Sign On Bonus

    Border Patrol Agent - Experienced - Up to 30k Sign On Bonus

    U.S. Customs and Border ProtectionSpringdale, WA, United States
    Full-time
    Border Patrol Agent (BPA) - Experienced (GL-9 GS-11).Check out these higher-salaried federal law enforcement opportunities with the U. Your current or prior law enforcement experience may qualify yo...Show moreLast updated: 30+ days ago
    • Promoted
    Physical Therapist

    Physical Therapist

    Delta CompaniesPost Falls, ID, US
    Full-time
    Setting : Outpatient, Orthopedics.Compensation : $1,740 - $2,040 estimated weekly pay.Start : ASAP | open to 1-2 months out. Duration : 13 weeks | potential to extend .Benefits : Blue Cros...Show moreLast updated: 1 day ago