New - Prior Authorization Specialist (Experienced)- Washington, Idaho, Oregon - Remote

Valid8 Financial, Inc.; Boise (ID); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health Insurance

Job summary

Valid8 Financial, Inc. is seeking a Prior Authorization Specialist for a remote position covering Washington, Idaho, and Oregon.

The role requires extensive EPIC experience and deep knowledge of Idaho payors, with duties including verifications, submitting and tracking authorizations, and documentation while maintaining HIPAA. The ideal candidate has 5+ years of prior authorization experience, strong communication and organizational skills, and can work independently from day one.

Qualifications

• 5+ years of prior authorization experience required.
• EPIC proficiency is mandatory.
• Extensive knowledge of Idaho payors and their authorization requirements.
• Ability to work independently from day one and handle end-to-end authorizations.

Responsibilities

• Perform insurance verifications and submit prior authorizations.
• Track authorizations and gather required documentation.
• Communicate with insurance payors and clinicians.
• Follow authorizations through to approval and ensure HIPAA compliance.

Skills

Prior authorization

Communication

Organization

Analytical thinking

Independence

Education

High School Diploma

Tools

EPIC

EMR systems

TEAMS

Job description

Prior Authorization Specialist – Remote - Washington, Idaho, Oregon

Position Summary

We’re looking for a Prior Authorization Specialist with extensive, hands-on experience working insurance authorizations in EPIC. EPIC proficiency is mandatory. Extensive knowledge of Idaho payors is mandatory. This is not an entry-level training position, and candidates who require training on EPIC or lack significant experience working with Idaho payors will not be considered. The successful candidate must be able to step in and work independently from day one. You will be responsible for completing insurance verifications, submitting and tracking prior authorizations, gathering required documentation, communicating with insurance payors and clinicians, and following authorizations through to approval.

Key Responsibilities:

• Extensive hands-on proficiency in EPIC, including prior authorization workflows.
• Extensive knowledge of Idaho payors, including their authorization requirements, processes, and requirements.
• Ability to independently manage prior authorizations from submission through approval.
• Communicate with providers and insurance companies regarding authorization status.
• Maintain HIPAA compliance and support daily revenue cycle operations.

Skills & Qualifications

• 5+ years of prior authorization experience -Required
• Strong communication, problem-solving, and organizational skills.
• Detail-oriented, analytical, and able to multitask in a fast-paced environment.
• Proficient in TEAMS

Education & Experience

• High School Diploma required; additional education in business or healthcare preferred.
• Experience in prior authorization, utilization review, insurance verification, and EMR systems.

[ preferred]

Work Environment & Physical Requirements

• Remote position
• Prolonged computer use; ability to lift up to 15 lbs.
• Reliable Internet

Job Type, Schedule & Compensation

Pay: $21–$23 per hour, [With additional pay available for exceptional experience.]

High performers will also be eligible for a performance bonus incentive.

• Health Insurance