Prior Authorization Specialist - Patient Access & Billing

OneOncology; Coeur d'Alene (ID); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Paid Time Off

Health Insurance (including dental &/v

401(k) Plan with match

Professional Development Fund

Employee Assistance Program

Job summary

Beacon Clinic in Coeur d'Alene, ID is hiring a Prior Authorization Specialist to coordinate approvals, explain financials to patients, and keep billing accurate. The role emphasizes teamwork, attention to detail, and strong communication in a patient-centered cancer care setting.

Required: high school diploma or GED; experience with insurance and prior authorizations is preferred. On-site, competitive benefits and growth opportunities are offered.

Qualifications

• High school education or GED required.
• Experience with Insurance and Prior Authorization strongly preferred.
• Ability to interpret billing manuals and insurance terminology.
• Ability to work in a group and meet tight timeframes.
• Attention to detail with ability to concentrate on multiple activities.

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.

Skills

Compassionate bedside manner

Strong communication skills

Phone communication

Team player

Insurance terminology

Payer processes

Prior authorization

Detail oriented

Problem solving

Time management

Continuous learning

Education

High school education or GED

Job description

Beacon Clinic in Coeur d'Alene, ID is hiring a Prior Authorization Specialist to coordinate approvals, explain financials to patients, and keep billing accurate. The role emphasizes teamwork, attention to detail, and strong communication in a patient-centered cancer care setting.

Required: high school diploma or GED; experience with insurance and prior authorizations is preferred. On-site, competitive benefits and growth opportunities are offered.