MV INFUSION - INSURANCE PRE-AUTHORIZATION SPECIALIST

Mountain View Hospital; Idaho Falls (ID); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

Medical, Dental and Vision Insurance

Paid Time Off

Retirement Plans (401K with up to 6% match)

Earned Quarterly Bonus Program

Education Reimbursement Program

Discount for medically necessary procedures

Job summary

Mountain View Hospital in Idaho Falls, ID, seeks a dedicated team member for an office role focused on preauthorization processes. This position requires attention to detail and effective communication with insurance companies and patients.

The successful applicant will ensure all documentation supports medical necessity, handle coding and billing tasks, and work alongside various teams to streamline healthcare services. Join us in making a meaningful impact in our community.

Qualifications

• Prior experience with coding and billing for outpatient billing is preferred.
• Able to communicate well with patients, co-workers, and vendor representatives.
• Ability to work well with others.

Responsibilities

• Checks appointments and tasks/messages for diagnosis and documentation support.
• Works closely with referring offices for necessary paperwork.
• Submits preauthorization requests with insurance companies.

Skills

Communication skills

Attention to detail

Knowledge of diagnoses and CPT codes

Ability to learn computer programs

Conflict resolution

Education

High School graduate or equivalent

Job description

Job Summary

Checks appointments and tasks/messages to make sure the diagnosis/documentation will support medical necessity, as per insurance company, and verify that all office visits and procedures that need preauthorization are pre-authorized. Works closely with referring offices to be used as a resource in helping them get necessary paperwork to start pre-authorizations, prove medical necessity, or to perform a retro-authorization. Works closely with co-workers and vendor representatives to get visits/procedures approved.

Qualifications

• High School graduate or equivalent. Knowledge of diagnoses and CPT codes for authorizing infusion services preferred.
• Prior experience with coding and billing for outpatient billing is preferred.
• Ability to communicate well with patients, co-workers and vendor representatives.
• Continuously able to concentrate on fine detail with interruptions and attend to tasks for an extended period of time.
• Ability to learn computer programs and input data as required.
• Ability to work well with others.
• Writing skills necessary to properly submit preauthorization requests with insurance companies. Appropriate phone etiquette to properly submit preauthorization requests. Holds the judgment, tact and diplomacy to effectively resolve conflicts.

Benefits

• Medical, Dental and Vision Insurance
• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off
• Retirement Plans (401K with up to 6% match)
• Earned Quarterly Bonus Program
• Education Reimbursement Program
• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital

About Mountain View Hospital

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice.

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply.

Job Location: Mountain View Infusion Services – Idaho Falls, ID 83404

Position Type: Full Time | Travel Percentage: None | Job Shift: Any | Category: Health Care