Prior Authorization Specialist

Beacon Clinic•Coeur D Alene, ID

10d•Onsite

About The Position

Beacon Clinic was founded for the purpose of delivering a level of care that we, as a team, can all be proud of. We are a patient-focused center that is committed to providing the highest quality of medical care and supportive services. We were founded in 2018 by Dr. David Bartels, focusing on cancer and blood conditions. Today, we provide care services to Medical Oncology and Hematology, Radiation Oncology, Rheumatology, and Urology patients. We are also dedicated to advancing the field by engaging in clinical research and offering our patients the opportunity to participate in various clinical trials. Learn more about us at our website . 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! This list outlines the core responsibilities of the position but is not all-inclusive.

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
High school education or GED required
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times.
Experience with Insurance and Prior Authorization strongly preferred

Nice To Haves

Interested in ongoing personal development, professional growth, and continuing education a plus

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.