Job Description
Employment Type: Full timeShift: Day Shift Description: Position Purpose: Saint Alphonsus is hiring a full-time Prior Authorization Specialist to verify insurance coverage, obtain pre-authorizations for clinical and operative services, determine patient financial responsibility and communicate pertinent details to the appropriate clinic. Position Highlights and Benefits: • Schedule Information: This position will be scheduled for 40 hours a week working Monday-Friday during traditional business hours. After a 3-6 week training period at the Shared Services Center in Boise, this role will be 100% remote. • Day 1 Benefits for colleagues! Our comprehensive benefit package includes medical, vision, dental, paid time off, 403B, education assistance and more. Minimum Qualifications: • High School Diploma or equivalent required. • Education, training or experience as a medical coder, medical billing, Medical Assistant, Insurance or Surgical Coordinator or other relevant clinical background required. • Working knowledge of CPT and ICD coding gained through experience. What You Will Do: • Process information daily from clinic regarding clinical procedures, diagnostics and operative services that are ordered and/or scheduled. • Assigns CPT and ICD codes as necessary for procedure to obtain authorization. • Contacts insurance payer for insurance benefits and prior authorization based on payer requirements. • Accurately documents authorization in patient financial record. • Communicates authorization and patient financial responsibility to clinic, within 48 hours. Exception: expect immediate turn around for urgent/emergent procedures. Highlights and Benefits: When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon. • We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one. • Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs develop. • We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow. Visit to learn more! Ministry/Facility Information: Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, Oregon, and northern Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based. • Top 15 Health Systems in the country by IBM Watson Health; • The region’s most advanced Trauma Center (Level II); • Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life. Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law. Apply tot his job
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