Top 45 Prior authorization Jobs in Star Id

Surgical Center Intake and Prior Authorization Coordinator
Idaho Physical Medicine & Rehabilitation —Meridian, ID
- Surgery
- Computer literacy
- Writing skills
Quick Apply
10d
Medical Assistant
East to West Functional Medicine —Meridian, ID
- $19 - $23 an hour
- Part-time
- Background check
- Vital signs
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Medical Assistant
Hayton Primary Care —Boise, ID
- $22 - $26 an hour
- Full-time
- Background check
- Vital signs
- Medication administration
- Free parking
- Health insurance
Quick Apply
Provider Relations Advocate - Remote in Idaho
UnitedHealthcare —Boise, ID
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Research
7d
New - Prior Authorization Specialist (Experienced)- Remote - Idaho State Area
Nyx Health —Boise, ID
- $21 - $23 an hour
- 8 hour shift
- Remote
- 5 years
- HIPAA
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
10d
Care Guide Support Specialist
Blue Cross of Idaho —Meridian, ID
- $26.12 - $36.58 an hour
- Full-time
- Mid-level
- Administrative experience
- Case management
- Paid holidays
- Disability insurance
Remote Energy Efficiency Customer Support Specialist
CLEAResult Consulting Inc. —Boise, ID
- $17 an hour
- Full-time
- Remote
- Sales
- High school diploma or GED
- US work authorization
- Health insurance
- Dental insurance
Quick Apply
2d
Provider Patient Concierge Rep
Intermountain Medical Imaging —Meridian, ID
- $24 - $31 an hour
- Full-time
- Microsoft Word
- Up to 50% travel
- Mid-level
- Health savings account
- Health insurance
Intake Specialist (In-Office if Local / Remote if Non-Local)
UNITED WOUND HEALING PS —Boise, ID
- $19 - $23 an hour
- Overtime
- Microsoft Outlook
- Pass drug screening
- HIPAA
- AD&D insurance
- Paid holidays
Quick Apply
Virtual Reimbursement Manager
サイネオス・ヘルス —Boise, ID
- Mid-level
- Bachelor's degree
- Medical terminology
- Health insurance
- Dental insurance
Qualification Specialist
NORCO INC —Meridian, ID
- $18.00 - $18.50 an hour
- Full-time
- Basic math
- Office
- High school diploma or GED
- Health savings account
- Health insurance
4d
Virtual Reimbursement Manager
Syneos Health Commercial Solutions —Boise, ID
- Mid-level
- Bachelor's degree
- Medical terminology
- Health insurance
- Dental insurance
RN/LPN Triage- Meridian Peds
Primary Health Medical Group —Meridian, ID
- Background check
- RN License
- Computer literacy
- Health insurance
- Dental insurance
1d
Specialty Care Financial Navigator
Saint Alphonsus —Boise, ID
- Full-time
- RN License
- Mid-level
- Microsoft Office
- Tuition reimbursement
- Employee assistance program
Remote Processing Specialist
CLEAResult Consulting Inc. —Boise, ID
- $16 an hour
- Full-time
- Remote
- US work authorization
- Organizational skills
- Entry level
- Health insurance
- Dental insurance
Quick Apply
2d
PATIENT ACCESS SPECIALIST - SMSC - Full Time
VALOR HEALTH —Emmett, ID
- Overtime
- Acute care
- Word processing
- Computer literacy
Quick Apply
Medical Assistant/Front office
East West DPC —Meridian, ID
- Part-time
- CPR Certification
- Vital signs
- US work authorization
Quick Apply
4d
Medical Assistant
Meridian Advanced Psychiatry —Meridian, ID
- $18 - $20 an hour
- Full-time
- Background check
- Private practice
- Vital signs
- Health savings account
- Paid holidays
Quick Apply
Utilization Management Pharmacy Technician - St. Luke's Health Plan
St. Luke's Health System —Boise, ID
- Full-time
- Hybrid work
- Mid-level
- 3 years
- High school diploma or GED
Quick Apply
4d
Dermatology Medical Assistant
Treasure Valley Dermatology & Skin Cancer Center —Meridian, ID
- Full-time
- Surgery
- Medical office experience
- Surgery
- Free parking
- Health insurance
Quick Apply
1d

I want to receive the latest job alert for prior authorization in star id

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

prior authorization jobs near star id

Pharmacy Technician jobs in Boise, ID

Prior Authorization Specialist jobs in Boise, ID

Reimbursement Manager jobs in Boise, ID

Dermatology Assistant jobs in Meridian, ID

Licensed Practical Nurse jobs in Meridian, ID

Process Technician jobs in Boise, ID

Support Specialist jobs in Meridian, ID

Prior Authorization Specialist jobs in Meridian, ID

Customer Specialist jobs in Boise, ID

Medical Assistant jobs in Meridian, ID

Intake Specialist jobs in Boise, ID

Care Navigator jobs in Boise, ID

Patient Access Specialist jobs in Emmett, ID

Pharmacy Technician jobs in Cartersville, GA

Pharmacy Technician jobs in Meridian, ID

Pharmacy Technician jobs in Round Rock, TX

Pharmacy Technician jobs in Douglasville, GA

Pharmacy Technician jobs in Lexington, KY

Entry Level Veterinary Technician jobs in Texas

Pharmacy Technician jobs in Champaign, IL

Surgical Center Intake and Prior Authorization Coordinator

Idaho Physical Medicine & Rehabilitation -
Meridian, ID

Quick Apply

Job Details

10 days ago

Qualifications

Computer operation
Customer communication
Employee relationship building
High school diploma or GED
Computer skills

Full Job Description

Position: ASC Intake Coordinator and Prior Authorization

Summary of Duties for intake Coordinator: Greet patients and visitors to IPMR Surgery Center, obtaining all required patient demographics; other information and directing to the appropriate person. Answer and direct all incoming calls in a courteous, efficient manner. Have general clerical duties. Needs good computer skills. Will be cross trained to all non-licensed areas in the ASC.

Summary of Duties for Prior Authorization: Responsible for verifying and obtaining authorizations as required by insurance, depending on plan coverage for all procedures in ASC and office. Responsible for reviewing upcoming schedules for insurance eligibility and to verify referrals are in place for payers in which they are required. Contact patients for updated insurance information and/or out of pocket estimates. Coordinates with billing, AMA’s, CMA’s and ASC when needed.

SUPERVISION RECEIVED: Reports to IPMR Director of Nursing and our Business Office Manager. Director of Nursing is the first point of contact. May receive directions from the Administrator and/or Physician

Essential Function for Intake Coordinator:

Schedules all procedures to be performed in the ASC.

Maintains daily schedule and prints schedule for pre and post-op/OR areas.

Obtains ABN forms as necessary.

Answers telephone in polite, prompt, helpful manner. Direct calls to the appropriate person and/or takes accurate messages when needed

Greets and admits patients and visitors to IPMR ASC in polite, prompt, helpful manner.

Obtains all patient identification, demographic information and insurance information.

Verifies and updates all patient identification information, demographics and insurance information within accounts receivable computer system.

Enter patient demographic information as well as continually updating eClinical patient status.

Notifies patients upon arrival of co-pays and other financial arrangements as needed.

Coordinates with business office on any patients requiring payment plans or financial counseling.

Works with business office to enhance collections of patient fees and accurate insurance billings.

Track patient arrivals, rescheduled appointments and no-shows to report as needed.

Maintains a clean, orderly reception area including plants, reading material (no reading materials to be older than 6 months) and art.

Scans documents and organizes charts for procedures.

Review procedure requests and physician’s orders, update and send to the appropriate files.

Anticipate and solve problems from all above areas of responsibility, with the primary consideration being the efficiency of the physicians and the center as a whole.

Comply with HIPAA Policies and Procedures and adhere to Confidentiality Policy

Will participate in all PI (performance improvement) projects.

Other duties as requested

Essential Function for Prior Authorization:

Responsible for obtaining authorizations from insurance companies

Verify patient insurance coverage and benefits

Submit necessary documentation to insurance companies to establish medical necessity.

Maintain accurate and up-to-date records of all prior authorization requests and approvals

Communicate effectively with healthcare providers to gather required clinical information.

Requires working knowledge of payer medical policies, along with National and Local Coverage Determinations (LCD) and will coordinate with physicians for any prior authorization denials or LCD coding questions.

Responsible for contacting patients with out-of-pocket costs for procedures. (This may include looking up insurance specific fee schedules to calculate out of pocket costs.)

Responsible as back up for the other Prior Authorization Coordinator duties as needed and each will provide coverage for the other during an absence.

Follow up with Insurance companies on pending authorizations.

Address and resolve any issues related to prior authorization denials.

Work with the billing department to ensure accurate coding and billing of authorized procedures.

Experience:. Minimum of two years’ experience working in a group practice or healthcare system is preferred. Understanding clinic operations related to patient registration, referrals, and authorization

Education: High school graduate or equivalent.

Skills:

Skill in establishing and maintaining effective working relationships with other employees, patients, organizations and the public

Good computer skills.

Skill in gathering, analyzing, and evaluating patient information

Skill in written and verbal communication.

Skills in gathering, analyzing, and evaluating insurance information.

Abilities:

Ability to read, understand and follow oral and written instruction.

Ability to sort and file materials correctly by alphabetic or numeric systems.

Ability to communicate clearly.

Ability to prioritize and handle many tasks/projects simultaneously

Ability to be proactive

- anticipate problems before they occur.

Ability to be self-directed, work alone.

ENVIRONMENTAL/WORKING CONDITIONS: Work is performed in a busy office environment and requires desk work. Frequent contact with employees, patients and outside agencies. Public contact may involve dealing with angry or upset people.

PHYSICAL DEMANDS: Standing and sitting required for extended periods of time. Manual dexterity for using a calculator and computer keyboard. Some bending and stooping are required.

Quick Apply

Refine Your Search

prior authorization jobs in star id

Surgical Center Intake and Prior Authorization Coordinator

Medical Assistant

Medical Assistant

Provider Relations Advocate - Remote in Idaho

New - Prior Authorization Specialist (Experienced)- Remote - Idaho State Area

Care Guide Support Specialist

Remote Energy Efficiency Customer Support Specialist

Provider Patient Concierge Rep

Intake Specialist (In-Office if Local / Remote if Non-Local)

Virtual Reimbursement Manager

Qualification Specialist

Virtual Reimbursement Manager

RN/LPN Triage- Meridian Peds

Specialty Care Financial Navigator

Remote Processing Specialist

PATIENT ACCESS SPECIALIST - SMSC - Full Time

Medical Assistant/Front office

Medical Assistant

Utilization Management Pharmacy Technician - St. Luke's Health Plan

Dermatology Medical Assistant

I want to receive the latest job alert for prior authorization in star id

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected