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:

• Experience: 1+ year in insurance verification or patient access
• Skills:
  • Strong knowledge of medical terminology and reimbursement processes.
  • Excellent customer service and communication skills (written and verbal).
  • Proficiency with EMR systems (Epic experience a plus), word processing, spreadsheets, and databases.
  • Ability to type quickly and accurately.
• Education: High school diploma or GED required.

Preferred Attributes:

• Detail-oriented and organized.
• Comfortable working in a fast-paced environment.
• Committed to delivering exceptional patient support.

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:

• 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,WA.

Application Deadline

This position is anticipated to close on Nov 20, 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.