Payer Authorization Specialist

Trinity Health • Boise, ID

2d

About The Position

The Payer Authorization Specialist performs insurance verification and pre-authorization on all clinical procedures, diagnostics and operative services requiring prior authorization from the insurance plan. Verify patient’s insurance benefit and create payment plan based on patient deductible and co-insurance responsibility. Communicates authorization and patient financial responsibility to clinic.

Requirements

• High School Diploma or equivalent required.
• Education, training or experience as a medical coder, medical billing, Medical Assistant, Insurance or Surgical Coordinator or other relevant clinical background required.
• Working knowledge of CPT and ICD coding gained through experience.

Responsibilities

• performs insurance verification
• pre-authorization on all clinical procedures, diagnostics and operative services requiring prior authorization from the insurance plan
• Verify patient’s insurance benefit
• create payment plan based on patient deductible and co-insurance responsibility
• Communicates authorization and patient financial responsibility to clinic

Benefits

• market-competitive pay
• generous PTO
• multiple options for comprehensive benefits that begin on day one.
• Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop.
• Employee Assistance Programs
• tuition reimbursement
• educational opportunities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees