Prior Authorization Specialist
Beacon Clinic•Boise, ID
•$22•Onsite
About The Position
Beacon Clinic has opened our doors in Boise, Idaho to offer Medical Oncology and Hematology services. We are incredibly excited to bring unparalleled patient care to the Treasure Valley community and the Prior Authorization Specialist position below will be a critical position as we launch our office.
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.
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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
