Pre-Authorization Coordinator Radiation Oncology Full-Time

St. Joseph Regional Medical Center, Inc.

Lewiston (ID)

On-site

USD 38,000 - 54,000

Full time

10 days ago

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Job summary

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

You will communicate with patients, physician offices, and internal teams to streamline scheduling, maintain EMR records, and ensure compliance with state and federal regulations. New grads are welcome—we’re committed to training and mentoring you as you grow, with a

Qualifications

  • High School Diploma or equivalent; some college in healthcare administration preferred.
  • 1 year of experience in scheduling, pre-certification, or registration in a healthcare setting.
  • Knowledge of insurance verification and pre-certification processes.
  • Ability to communicate effectively with patients, physician offices, and internal departments.

Responsibilities

  • Schedule diagnostic tests and procedures in accordance with hospital protocols and enter data into scheduling systems.
  • Verify insurance information, obtain pre-certification/authorization, and enter information into scheduling/registration systems.
  • Respond to inquiries from patients, physician offices, and third-party payers with accurate scheduling information.
  • Maintain communication with registration staff to ensure unscheduled patients receive appropriate testing.
  • Assist in pre-registration processes, including collecting demographic and insurance information.
  • Document all communications related to pre-certifications, insurance verification, and scheduling updates in the EMR.
  • Maintain knowledge of billing procedures and applicable regulations to ensure compliance.
  • Collaborate with financial counselors to assist patients with financial assistance screening and payment arrangements.

Skills

Verbal and written communication
Organization / detail-oriented
Multi-tasking in healthcare
Microsoft Office

Education

High School Diploma or equivalent
Some College Coursework in healthcare administration

Tools

EMR systems
Insurance verification

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.
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