Prior Authorization Specialist

Beacon Clinic; Coeur d'Alene (ID); Sur place; USD 25 000 - 36 000; Plein temps

Avantages offerts par ce poste

Paid Time Off

8 paid, closed-clinic holidays

Health Insurance (dental and vision)

401(k) Plan with match

Professional Development Fund

Employee Assistance Program

Résumé du poste

Beacon Clinic Inc. in Coeur d'Alene, ID is hiring a Prior Authorization Specialist to coordinate insurance approvals, authorizations, and appeals while guiding patients through financial responsibilities.

In this on-site role you will verify coverage, prepare accurate patient accounts, collaborate with providers, and help resolve barriers before treatment begins. Starting pay is $22 per hour DOE; benefits include health insurance and paid time off.

Qualifications

• Ability to interpret billing manuals, insurance and third-party coverage.
• Understanding of third-party review processes and payer funding.
• Experience with insurance and prior authorization preferred.

Responsabilités

• Coordinates insurance approvals, prior authorizations, and appeals with payers.
• Communicates with patients to discuss financial responsibilities and payment plans.
• Verifies insurance coverage and resolves billing or reimbursement issues.
• Prepares and documents patient accounts for supervisor approval, with proper codes.
• Collaborates with providers to identify and resolve financial barriers before treatment.

Connaissances

Compassionate client care

Strong communication

Phone experience

Team player

Billing terminology

Prior Authorization process

Formation

High school diploma or GED

Description du poste

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 manner
• Strong written and verbal communication skills
• Comfortable on phone
• Ability to work extremely well in a group setting
• Ability to interpret billing manuals, insurance and/or other third-party coverage
• Understanding of the third-party review process, payer funding and authorization procedures to ensure payment, and government/state payers, including eligibility factors
• Knowledge of medical and insurance terminology is required
• Understanding on how to prioritize workload and possess ability to meet tight time frames
• Ability 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 plus

Education

• High school education or GED required
• Experience with Insurance and Prior Authorization strongly preferred

Physical 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 83815
• Willing to float to other locations if needed
• On-Site

Benefits

• Paid Time Off
• 8 paid, closed-clinic holidays
• Health Insurance, including dental and vision
• 401(k) Plan with match
• Professional Development Fund
• Employee Assistance Program

Pay

Pay: Starting at $22.00/hour DOE

Beacon 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.