Prior Authorization Specialist
Beacon Clinic•Coeur d'Alene, ID
•Onsite
About The Position
Beacon has an excellent opportunity available within our clinic as a Prior Authorization Specialist. If you are looking for exciting, flexible, and stimulating work with meaningful advancement opportunities available, then consider Beacon the right place for you!
Requirements
- Compassionate and caring bedside manner
- Strong written and verbal communication skills
- Comfortable on phone
- Ability to work extremely well in a group setting
- Ability to interpret billing manuals, insurance and/or other third-party coverage
- Understanding of the third-party review process, payer funding and authorization procedures to ensure payment, and government/state payers, including eligibility factors
- Knowledge of medical and insurance terminology is required
- Understanding on how to prioritize workload and possess ability to meet tight time frames
- Ability to work under minimal supervision, with detail and possess problem-solving and follow-through skills
- Must have ability to concentrate on detail in the middle of other activities
- Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 15 pounds at times.
Nice To Haves
- Interested in ongoing personal development, professional growth, and continuing education a plus
- Experience with Insurance and Prior Authorization strongly preferred
Responsibilities
- Coordinates insurance approvals, prior authorizations, and appeals with private and government payers, including Medicare, HMOs/PPOs, and clinical trials.
- Communicates with patients and families to provide treatment estimates, discuss financial responsibilities, and establish payment arrangements.
- Verifies insurance coverage regularly and resolves billing or reimbursement issues to avoid treatment delays.
- Prepares and documents patient accounts accurately for supervisor approval, ensuring billing compliance and use of proper codes.
- Collaborates with providers and the patient access manager to identify and resolve financial barriers before treatment begins.
- Demonstrates professionalism through self-directed work, ongoing development, and encouraging innovative problem-solving.
Benefits
- Paid Time Off
- 8 paid, closed-clinic holidays
- Health Insurance, including dental and vision
- 401(k) Plan with match
- Professional Development Fund
- Employee Assistance Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
