Payer Authorization Specialist - PRN

Trinity Health•Boise, ID

2d•Onsite

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 and pre-authorization on all clinical procedures, diagnostics and operative services requiring prior authorization from the insurance plan.
Verifies patient’s insurance benefit and creates payment plan based on patient deductible and co-insurance responsibility.
Communicates authorization and patient financial responsibility to clinic.