Payer Authorization Specialist

Reposted Yesterday
Be an Early Applicant
Boise, ID
In-Office
Entry level
Healthtech
The Role
The Payer Authorization Specialist verifies insurance benefits, manages pre-authorizations for clinical procedures, and communicates payment responsibilities to patients.
Summary Generated by Built In
Employment Type:Full timeShift:Day Shift

Description:

The Payer Authorization Specialist performs insurance verification and pre-authorization on all clinical procedures, diagnostics and operative services requiring prior authorization from the insurance plan. Verify patient’s insurance benefit and create payment plan based on patient deductible and co-insurance responsibility. Communicates authorization and patient financial responsibility to clinic.

SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:

1. High School Diploma or equivalent required.

2. Education, training or experience as a medical coder, medical billing, Medical Assistant, Insurance or Surgical Coordinator or other relevant clinical background required.

3. Working knowledge of CPT and ICD coding gained through experience.

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.

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.

Visit www.saintalphonsus.org/careers to learn more!

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.

Top Skills

Cpt Coding
Icd Coding
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Livonia, MI
6,824 Employees

What We Do

Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians caring for diverse communities across 25 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 131 continuing care locations, the second largest PACE program in the country, 125 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $20.2 billion with $1.2 billion returned to its communities in the form of charity care and other community benefit programs.

Similar Jobs

SailPoint Logo SailPoint

Sales Executive

Artificial Intelligence • Cloud • Sales • Security • Software • Cybersecurity • Data Privacy
Remote or Hybrid
6 Locations
2461 Employees
109K-203K Annually

Cox Enterprises Logo Cox Enterprises

Director, Vendor Performance Management (Cox Automotive Fleet Client Solutions and Delivery)

Automotive • Cloud • Greentech • Information Technology • Other • Software • Cybersecurity
Remote or Hybrid
ID, USA
50000 Employees
132K-219K Annually

Motorola Solutions Logo Motorola Solutions

Account Manager

Artificial Intelligence • Hardware • Information Technology • Security • Software • Cybersecurity • Big Data Analytics
Remote or Hybrid
Idaho, USA
23000 Employees
80K-90K Annually

CrowdStrike Logo CrowdStrike

Sr. Threat Hunting Intelligence Analyst (Remote, West Coast)

Cloud • Computer Vision • Information Technology • Sales • Security • Cybersecurity
Remote or Hybrid
11 Locations
10000 Employees
100K-155K Annually

Similar Companies Hiring

Camber Thumbnail
Social Impact • Healthtech • Fintech
New York, NY
53 Employees
Sailor Health Thumbnail
Telehealth • Social Impact • Healthtech
New York City, NY
20 Employees
Granted Thumbnail
Insurance • Healthtech • Financial Services • Artificial Intelligence
New York, New York
23 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account