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Welcome to CommonSpirit Careers

The power of humankindness works here

Pre-Authorization Rep

  • St Anne Hospital
  • Burien, Washington
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About Us

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 138 hospital-based locations, in addition to its home-based services and virtual care offerings.

Our Mission

As CommonSpirit Health, we make the healing presence of God known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all. To learn more about a calling that defines and unites, please click here for more information about our mission, vision, and values.

The posted compensation range of $22.95 - $32.42 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law.

Job ID
2026-466522
Employment Type
Full Time
Department
Business Office Patient Financial Services
Hours/Pay Period
80
Weekly Schedule
Days
Shift
Day
Remote
No
Category
Accounting and Finance

Job Summary and Responsibilities

As a Pre-Authorization Representative, you will be responsible for ensuring a smooth and efficient pre-admission and pre-authorization process for all patients, safeguarding necessary financial clearance before services are rendered.

Daily, you will accurately gather and verify patient demographic and insurance information, obtain necessary pre-certifications and authorizations from insurance companies, and communicate financial responsibilities to patients. You will serve as a key point of contact, coordinating with physicians' offices, insurance providers, and hospital departments to facilitate seamless patient access to care. Your work directly contributes to preventing claim denials and ensuring financial integrity.

Success in this role requires meticulous attention to detail, strong knowledge of insurance practices and medical terminology, excellent communication skills, and a commitment to patient advocacy and financial accuracy.

  • Receives physician referrals and/or monitors work queue to identify for notification of patient’s pharmacy therapy plan and initiates process to validate insurance coverage and obtain pre-authorization for specific drugs/medications.
  • Reviews insurance company requirements to identify acceptable documentation for pre-authorization of specific drugs/medication; maintains current awareness of frequent market changes and updates by various insurance/drug companies as to what constitutes medical necessity, which medications require pre-authorization and the specific documentation requirements.
  • Reviews patient data in Epic to determine whether it is sufficient to meet the insurance company’s documentation requirements for specific medications; receives calls from insurance companies requesting additional documentation if not available in the patient’s medical record.
  • Contacts physician’s offices as necessary to request specific documentation needed for pre-authorization, re-authorization and/or proof of medical necessity; may review patient’s chart notes, lab results, and medical history relating to previous diagnoses and/or drug regimens in order to gather/provide documentation that meets the differing needs of a specific insurance company and facilitate authorization.
  • Contacts pharmacy, once pre-authorization has been obtained, to determine whether drug/medication is currently in stock; follows up to assure order has been placed and when it will be available; maintains ongoing communication with Conifer to advise when medication will be in stock for the patient.
  • Recognizes when additional assistance is needed to resolve insurance pre-authorization issues and escalates appropriately and timely through defined communication and escalation channels.

Job Requirements

Required

  • Two years of related work experience that demonstrates attainment of the requisite job knowledge and abilities.
  • None, upon hire

Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Total Rewards

Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards

Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

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CommonSpirit Health™ is an Equal Opportunity/Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here [PDF].

CommonSpirit Health™ will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c). External hires must pass a post-offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances. If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at (415) 438-5575 and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA). CommonSpirit Health™ participates in E-Verify.

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