Prior Authorization Specialist

Beacon Clinic; Coeur d'Alene (ID); Presencial; USD 25.000 - 36.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Paid Time Off

8 paid holidays

Health Insurance (dental & vision)

401(k) Plan with match

Professional Development Fund

Employee Assistance Program

Descripción de la vacante

Beacon Clinic in Coeur d'Alene, ID is seeking a Prior Authorization Specialist to join our team. You will coordinate approvals and appeals with insurers, discuss treatment costs with patients, and ensure accurate patient billing while following proper codes.

The role requires knowledge of insurance processes and the ability to work within a team to navigate financial barriers before treatment begins. On-site position with benefits and opportunities for growth.

Formación

• Compassionate, patient-focused bedside manner.
• Excellent written and verbal communication skills.
• Familiarity with billing, insurance terminology and third-party payers.
• Ability to manage multiple tasks and meet tight deadlines.

Responsabilidades

• Coordinate insurance approvals, prior authorizations, and appeals with payers.
• Communicate with patients about treatment estimates and financial responsibilities.
• Verify insurance coverage and resolve billing or reimbursement issues to avoid delays.
• Prepare and document patient accounts for supervisor approval with proper codes.
• Collaborate with providers and patient access manager to resolve financial barriers before treatment.

Conocimientos

Compassionate bedside manner

Strong written and verbal comm.

Phone etiquette

Team collaboration

Billing & insurance terminology

Time management

Educación

High school education or GED

Descripción del empleo

Why Join Us?Beacon Clinic was founded for the purpose of delivering a level of care that we, as a team, can all be proud of. We are a patient-focused health and wellness clinic that is committed to providing the highest quality of medical care and supportive services. When founded, we specialized in the treatment of cancer and blood conditions. Today, we provide medical oncology and hematology, radiation oncology, rheumatology, and urology services to our phenomenal patients. Learn more about us at our website.Job Description:Beacon has an excellent opportunity available within our clinic as a Prior Authorization Specialist. If you are looking for exciting, flexible, and stimulating work with meaningful advancement opportunities available, then consider Beacon the right place for you!Duties/Responsibilities:Coordinates insurance approvals, prior authorizations, and appeals with private and government payers, including Medicare, HMOs/PPOs, and clinical trials.Communicates with patients and families to provide treatment estimates, discuss financial responsibilities, and establish payment arrangements.Verifies insurance coverage regularly and resolves billing or reimbursement issues to avoid treatment delays.Prepares and documents patient accounts accurately for supervisor approval, ensuring billing compliance and use of proper codes.Collaborates with providers and the patient access manager to identify and resolve financial barriers before treatment begins.Demonstrates professionalism through self-directed work, ongoing development, and encouraging innovative problem-solving.This list outlines the core responsibilities of the position but is not all-inclusive.Required Skills/Abilities:Compassionate and caring bedside mannerStrong written and verbal communication skillsComfortable on phoneAbility to work extremely well in a group settingAbility to interpret billing manuals, insurance and/or other third-party coverageUnderstanding of the third-party review process, payer funding and authorization procedures to ensure payment, and government/state payers, including eligibility factorsKnowledge of medical and insurance terminology is requiredUnderstanding on how to prioritize workload and possess ability to meet tight time framesAbility to work under minimal supervision, with detail and possess problem-solving and follow-through skills·Must have ability to concentrate on detail in the middle of other activities·Interested in ongoing personal development, professional growth, and continuing education a plusEducation:High school education or GED requiredExperience with Insurance and Prior Authorization strongly preferredPhysical Requirements:Prolonged periods of sitting at a desk and working on a computer.Must be able to lift up to 15 pounds at times.Location:3815 N Schreiber Way, Suite 101, Coeur d'Alene, ID 83815Willing to float to other locations if neededOn-SiteBenefits:Paid Time Off8 paid, closed-clinic holidaysHealth Insurance, including dental and vision401(k) Plan with matchProfessional Development FundEmployee Assistance ProgramPay: Starting at $22.00/hour DOEBeacon Company Mission: To meet patients wherever they are on their cancer journey and walk with them on that journey; to provide compassionate, personalized cancer care for an unparalleled patient experience.Beacon Core Values: Compassion. Grace. Honesty. Humor. Respect. Trust.Our providers and staff at Beacon share these values and truly embody the mission of Beacon. Our team is comprised of the most devoted, compassionate individuals who consistently go above and beyond for patients and who strive to continually improve patient care and the overall patient experience.