Prior Authorization Specialist

About the job

Beacon Clinic in Coeur d'Alene is hiring a full-time prior authorization specialist. The specialist secures insurance approvals and works with patients and providers on costs so treatment can start without financial delays.

Beacon Clinic began as a cancer and blood disorders practice and now offers urology, rheumatology, radiation oncology, and medical oncology and hematology care.

What you'll do

• Handle prior authorizations, insurance approvals and appeals with government and private payers, including Medicare, HMOs/PPOs and clinical trials
• Give patients and families treatment estimates, explain what they owe and set up payment plans
• Check insurance coverage regularly and fix billing or reimbursement problems before they delay treatment
• Prepare and document patient accounts for supervisor approval, using correct codes and following billing rules
• Work with providers and the patient access manager to clear financial barriers before treatment

What you need

• A high school education or GED
• Knowledge of medical and insurance terminology
• Able to read billing manuals and insurance or other third-party coverage, and understand payer authorization and eligibility rules
• Strong written and verbal communication, comfort on the phone and a caring manner with patients
• Able to prioritize, meet tight deadlines, focus on detail and work with little supervision
• Able to sit at a desk and work at a computer for long periods and lift up to 15 pounds at times
• Willing to work on site and float to other locations if needed

Preferred

• Experience with insurance and prior authorization (strongly preferred)
• Interest in ongoing professional growth and continuing education

Schedule

• Full-time
• On site, with possible floating to other locations

Benefits

• Paid time off and paid holidays when the clinic is closed
• Health insurance, including dental and vision
• A 401(k) plan with a match
• A professional development fund
• An employee assistance program