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.
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.
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