Pre-Authorization Coordinator Radiation Oncology Full-Time

St. Joseph Regional Medical Center; Lewiston (ID); On-site; USD 34,000 - 52,000; Full time

Job summary

St. Joseph Regional Medical Center in Lewiston, Idaho is seeking a Pre-Service Coordinator to manage scheduling, verify insurance, obtain pre-certification, and ensure accurate billing data in scheduling systems.

You will serve as a liaison among patients, physician offices, and internal departments to streamline access to care, maintain regulatory compliance, and improve patient experience. New grads welcome; training and mentoring provided.

Qualifications

• High school diploma or equivalent; healthcare admin coursework preferred.
• 1 year scheduling, pre-certification, or registration experience in a healthcare setting.
• Knowledge of insurance verification and pre-certification processes.

Responsibilities

• Schedule diagnostic tests and procedures in line with hospital protocols and ensure accurate data entry.
• Verify insurance information, obtain pre-certification/authorization, and enter data into scheduling/registration systems.
• Answer inquiries from patients, physician offices, and payers with accurate information on scheduled services.
• Maintain communication with registration staff to manage unscheduled patients needing tests.
• Assist in pre-registration processes, including collecting demographics and insurance details.
• Document all communications related to pre-certifications, verification, and scheduling in the EMR.
• Keep up-to-date on billing procedures, insurance requirements, and regulatory policies.

Skills

Communication

Organization

Multitasking

MS Office

Medical terms

Collaboration

Education

High School Diploma

Some College (Healthcare admin)

Job description

Description

Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care. Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about. If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Job Summary

The Pre-Service Coordinator is responsible for scheduling diagnostic tests and procedures, verifying insurance information, obtaining pre-certification/authorization, and ensuring that accurate billing information is entered into the scheduling or registration system. The role involves maintaining communication with patients, physician offices, and internal departments to facilitate efficient scheduling processes while ensuring compliance with regulatory guidelines. The Pre-Service Coordinator serves as a liaison between patients and the healthcare system to optimize the patient experience and ensure timely access to care.

Essential Functions

• Schedule diagnostic tests and procedures in accordance with hospital protocols, ensuring timely and accurate data entry.
• Verify insurance information, obtain pre-certification/authorization, and enter information into scheduling and registration systems.
• Respond to telephone inquiries from patients, physician offices, and third-party payers, providing accurate information regarding scheduled services.
• Maintain open communication with the registration staff to ensure unscheduled patients presenting for services receive appropriate testing.
• Assist in the coordination of patient pre-registration processes, including collection of demographic and insurance information.
• Document all communication related to pre-certifications, insurance verification, and scheduling updates in the electronic medical record (EMR).
• Maintain knowledge of billing procedures, insurance requirements, and organizational policies to ensure compliance with state and federal regulations.
• Provide support in resolving scheduling conflicts, insurance discrepancies, and patient inquiries related to billing and testing.
• Collaborate with financial counselors to assist patients with financial assistance screening and payment arrangements as needed.
• Cross-train to perform functions in Pre-Reg or Pre-Cert areas to provide coverage as needed.
• Perform other duties as assigned by the Patient Financial Services Director.

Knowledge/Skills/Abilities/Expectations

• Excellent verbal and written communication skills.
• Strong organizational skills with attention to detail and accuracy.
• Ability to handle multiple tasks in a fast-paced healthcare environment.
• Proficient in Microsoft Office applications (Word, Excel, Outlook).
• Knowledge of medical terminology, insurance verification, and pre-certification processes.
• Ability to work independently and collaboratively with other departments.

Qualifications

Education

• High School Diploma or equivalent, including education equivalent to completion of secondary school or demonstrated ability to perform the essential functions of the role. AND
• Some College Coursework Completed in healthcare administration (Preferred)

License/Certification

• None required

Experience

• 1 year of experience in scheduling, pre-certification, or registration in a healthcare setting.
• Knowledge of insurance verification and pre-certification processes preferred.