Remote Optum Prior Authorization Jobs in Seattle, WA

Meet payor authorization requirements to ensure maximum reimbursement for a variety of complex services. Assess the family and organizational financial liability for services requested for patients who live outside of the WAMI region, (Washington, Alaska, Montana or Idaho) including Out of Country patients with insurance. Determine requirements for financial clearance, educate families, clinic staff, contracting and providers of options; execute and coordinate actions needed to schedule patients.
Qualifications
While this role is remote, the candidate must be physically based in WA State.
Required Education and Experience
High school diploma or equivalent experience.
Four (4) years of experience with progressive responsibility in a role involving or related to patient registration and scheduling, financial counseling, or meeting insurance company requirements for prior authorization of outpatient and inpatient services, or a combination of applicable experience and college-level coursework in lieu of a total of four years of experience.
Required Credentials
N/A.
Preferred
Bachelor of Arts or higher in a related field.
Two or more years of experience processing prior authorizations with demonstrated ability to problem-solve complex insurance authorization, benefit, and coverage situations.
Familiarity with other cultures/bilingual skills.
Compensation Range
$26.51 - $39.76 per hour
Salary Information
This compensation range was calculated based on full-time employment (2080 hours worked per calendar year). Offers are determined by multiple factors including equity, skills, experience, and expertise, and may vary within the range provided.
Disclaimer for Out of State Applicants
This compensation range is specific to Seattle, positions located outside of Seattle may be compensated differently depending on various factors
Benefits Information
Seattle Children's offers a generous benefit package, including medical, dental, and vision plans, 403(b), life insurance, paid time off, tuition reimbursement, and more. Additional details on our benefits can be found on our website www.seattlechildrens.org/careers/benefits.
About Us
Hope. Care. Cure. These three simple words capture what we do at Seattle Children's - to help every child live the healthiest and most fulfilling life possible. Are you ready to engage with a mission-driven organization that is life-changing to many, and touches the hearts of all? #HOPECARECURE
Our founding promise to the community is as valid today as it was over a century ago: we will care for all children in our region, regardless of the families' ability to pay. Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country.
U.S. News & World Report consistently ranks Seattle Children's among the nation's best children's hospitals. For more than a decade, Seattle Children's has been nationally recognized in key specialty areas. We are honored to be one of the nation's very best places to care for children and the top-ranked pediatric hospital in Washington and the Pacific Northwest.
As a Magnet designated institution, we recognize the importance of hiring and developing great talent to provide best-in-class care to the patients and families we serve. Our organizational DNA takes form in our core values: Compassion, Excellence, Integrity, Collaboration, Equity and Innovation. Whether it's delivering frontline care to our patients in a kind and caring manner, practicing the highest standards of quality and safety, or being relentlessly curious as we work towards eradicating childhood diseases, these values are the fabric of our culture and community. The future starts here.
Our Commitment
Seattle Children's welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families. Our organization recruits, employs, trains, compensates, and promotes based on merit without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
The people who work at Seattle Children's are members of a community that seeks to respect and celebrate all the qualities that make each of us unique. Each of us is empowered to be ourselves.
Seattle Children's is proud to be an Equal Opportunity Workplace and Affirmative Action Employer.