Pre-Auth Specialist: Insurance Approvals

Mountain View Hospital; Idaho Falls (ID); On-site; USD 38,000 - 54,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

Paid Time Off

Job summary

Mountain View Hospital in Idaho Falls seeks a detail-oriented Preauthorization/Billing specialist to ensure documentation supports medical necessity and secure pre-authorizations for visits and procedures. You will coordinate with referring offices and vendor representatives to submit requests, verify CPT codes, and maintain accurate outpatient billing records.

Join a mission-driven team with benefits including medical, dental and vision insurance, paid time off, retirement plans, and education

Qualifications

• High School diploma or equivalent.
• Knowledge of diagnoses and CPT codes for pain management services preferred.

Responsibilities

• Verify preauthorizations and document medical necessity with insurance.
• Coordinate with referring offices to obtain necessary paperwork for pre-authorizations.
• Submit preauthorization requests and ensure timely processing with insurers.
• Maintain accurate outpatient billing records and collaborate with co-workers and vendor representatives.

Skills

Attention to detail

Communication

Teamwork

Time management

Education

High School diploma

Job description

Mountain View Hospital in Idaho Falls seeks a detail-oriented Preauthorization/Billing specialist to ensure documentation supports medical necessity and secure pre-authorizations for visits and procedures. You will coordinate with referring offices and vendor representatives to submit requests, verify CPT codes, and maintain accurate outpatient billing records.

Join a mission-driven team with benefits including medical, dental and vision insurance, paid time off, retirement plans, and education