Insurance Pre-Authorization Specialist

1 week ago


Idaho Falls, Idaho, United States Mountain View Hospital Full time
Job Summary

We are seeking a highly organized and detail-oriented Insurance Pre-Authorization Specialist to join our team at Mountain View Infusion Services. In this role, you will be responsible for ensuring that all appointments and tasks/messages are properly authorized and verified to support medical necessity, as per insurance company requirements.

Key Responsibilities
  • Verify all patients have appropriate diagnosis for each therapy to support medical necessity according to LCD's and payer policies, when submitting prior authorization requests.
  • Work closely and professionally with referring providers when infusion/therapy authorization needs to be done and/or is denied reimbursement to help the provider get all paperwork in order to start the authorization process, prove medical necessity, and/or retro-authorization.
  • Maintain flexibility as department grows with willingness to accept additional responsibilities requested by department manager/supervisor/director.
  • Protects information that is sensitive, proprietary or confidential in nature. Adheres to Patient Rights Policy and patient confidentiality standards.
  • Works to provide functional and safe surroundings for patients and staff (i.e., safety, security, infection control, etc.). Strives to always promote personal and patient safety.
Requirements
  • High School graduate or equivalent. Knowledge of diagnoses and CPT codes for authorizing infusion services preferred.
  • Prior experience with coding and billing for outpatient billing is preferred.
  • Ability to communicate well with patients, co-workers and vendor representatives.
  • Basic math skills.
  • Ability to learn computer programs and input data as required.


  • Idaho Falls, Idaho, United States Nathan Blanchard - State Farm Agent Full time

    Job OpportunityWe are seeking a highly organized and efficient professional to join our team as a Customer Relations Specialist. As a key member of our agency, you will play a vital role in supporting insurance agents in gaining and keeping customers.ResponsibilitiesEstablish and maintain strong customer relationships through prompt and accurate...


  • Idaho Falls, Idaho, United States Eastern Idaho Regional Medical Center Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Patient Registration Specialist to join our team at Eastern Idaho Regional Medical Center. As a key member of our healthcare team, you will be responsible for ensuring the timely and accurate registration of patients, as well as verifying insurance coverage and obtaining necessary signatures.Key...


  • Idaho Falls, Idaho, United States Eastern Idaho Regional Medical Center Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Patient Registration Specialist to join our team at Eastern Idaho Regional Medical Center. As a key member of our healthcare team, you will be responsible for ensuring the timely and accurate registration of patients, as well as verifying insurance coverage and obtaining necessary signatures.Key...


  • Idaho Falls, Idaho, United States Mountain View Hospital Full time

    About the RoleMountain View Hospital is seeking a highly organized and detail-oriented Insurance Follow-Up Specialist to join our team. As a key member of our revenue cycle department, you will play a critical role in ensuring timely and accurate payment from insurance companies.Key ResponsibilitiesCollect and Follow-Up on Delinquent Accounts: Utilize your...


  • Idaho Falls, Idaho, United States Paul Davis Full time

    Job SummaryWe are seeking a highly skilled and experienced Senior Restoration Specialist to join our team at Paul Davis. As a key member of our disaster recovery team, you will be responsible for assessing and mitigating damage caused by various disasters, including water, fire, and mold.Key ResponsibilitiesAssess damage and develop a plan of action to...


  • Idaho Falls, Idaho, United States The Tran Agency - Reginald Freeman Full time

    Job OpportunityWe are seeking a highly motivated and ambitious individual to join our team as an Insurance Sales Consultant. As a key member of our organization, you will be responsible for mentoring and guiding clients in selecting the right insurance products to meet their needs.Key Responsibilities:Meet with clients to discuss their insurance needs and...


  • Idaho Falls, Idaho, United States AWP Safety Full time

    About AWP SafetyAWP Safety is a leading provider of traffic management services, dedicated to safeguarding people, businesses, and communities across the country.Job SummaryWe are seeking a highly motivated and detail-oriented Traffic Safety Specialist to join our team. As a Traffic Safety Specialist, you will play a critical role in ensuring the safety of...

  • PACU/Pre-Post Op RN

    4 weeks ago


    Idaho Falls, Idaho, United States TravelNurseSource Full time

    About the PositionWe are seeking a skilled PACU/Pre-Post Op RN to join our team at TravelNurseSource. As a Recovery Room Nurse, you will play a critical role in providing high-quality patient care and support in a fast-paced environment.Key Responsibilities:Monitor post-operation vital signs and assess levels of consciousnessCarefully observe patients for...


  • Idaho Falls, Idaho, United States Clear Creek School District RE-1 Full time

    Job SummaryWe are seeking a reliable and safety-conscious Transportation Specialist to join our team at Clear Creek School District RE-1. As a key member of our transportation department, you will be responsible for safely transporting students to and from schools and district activities.Key ResponsibilitiesDrive a prescribed route safely and...

  • Nurse Practitioner

    2 weeks ago


    Idaho Falls, Idaho, United States Symbii Full time

    Job Title: Nurse Practitioner - Wound Care SpecialistWe are seeking a highly skilled Nurse Practitioner to join our Mobile Wound Care team. As a key member of our team, you will provide high-quality primary care to our geriatric and disabled populations in assisted living and in their homes.Responsibilities:Deliver clinical and operational responsibilities...


  • Idaho Falls, Idaho, United States Idaho Falls School District 91 Full time

    Job Title: Licensed Practical Nurse (Pre-School Program)We are seeking a highly skilled and dedicated Licensed Practical Nurse (LPN) to join our team at Idaho Falls School District 91. The successful candidate will be responsible for providing nursing services to students in our pre-school program.Job Summary:The LPN will work under the supervision of a...


  • Idaho Falls, Idaho, United States Stryker Full time

    About the RoleWe are seeking a highly skilled Clinical Specialist to join our Stryker Spine Enabling Technologies team. As a Clinical Specialist, you will provide clinical product support to end-users and provide on-site guidance and assistance during surgical procedures.Key ResponsibilitiesProvide training and clinical/technical support to surgeons and...


  • Idaho Falls, Idaho, United States American Cybersystems Full time

    Job Description:We are seeking a highly skilled and organized Department Support Specialist to join our team. As a key member of our department, you will be responsible for providing administrative support to our team members.Key Responsibilities:Perform a variety of support functions to support the department.Handle multiple projects and may assist in...


  • Idaho Falls, Idaho, United States Idaho National Laboratory Full time

    Job Title: Personnel Security SpecialistIdaho National Laboratory is seeking a highly skilled Personnel Security Specialist to join our team in the Badging and Clearances department. As a key member of our team, you will play a critical role in ensuring the security and integrity of our operations.Job SummaryThe Personnel Security Specialist will be...


  • Idaho Falls, Idaho, United States Serco North America Full time

    About the RoleWe are seeking a highly skilled Air Traffic Control Specialist to join our team at Serco North America. As an Air Traffic Control Specialist, you will play a critical role in ensuring the safe and efficient movement of air traffic through our nation's airspace.Key ResponsibilitiesControl air traffic on and within the vicinity of the airport,...


  • Idaho Falls, Idaho, United States Serco North America Full time

    Job SummaryWe are seeking an experienced Air Traffic Control Specialist to join our team at Serco North America. As an Air Traffic Control Specialist, you will be responsible for controlling air traffic on and within the vicinity of the airport, ensuring the safe, orderly, and expeditious movement of air traffic through the nation's airspace.Key...


  • Idaho Falls, Idaho, United States Stryker Full time

    Job SummaryWe are seeking a highly skilled Clinical Specialist to join our Stryker Spine team. As a Clinical Specialist, you will provide clinical product support to end-users, provide on-site guidance and assistance during surgical procedures, and train surgeons and operating room staff on the use of our navigation technologies.Key ResponsibilitiesProvide...


  • Idaho Falls, Idaho, United States Pediatrix Full time

    Pediatric Intensivist Job DescriptionWe are seeking a highly skilled Pediatric Intensivist to join our team at Eastern Idaho Regional Medical Center (EIRMC) in Idaho Falls, Idaho.Responsibilities:Provide high-quality patient care in the Pediatric ICU, including admissions and patient management, consultation with families and referring physicians.Collaborate...

  • Nurse Specialist

    4 weeks ago


    Idaho Falls, Idaho, United States TravelNurseSource Full time

    About the Position:We are seeking a skilled and dedicated PACU/Pre-Post Op RN to join our team at TravelNurseSource. As a travel nurse, you will have the opportunity to work in a variety of settings and locations, gaining valuable experience and skills.Responsibilities:Provide high-quality patient care in a fast-paced PACU/Pre-Post Op environmentCollaborate...


  • Idaho Falls, Idaho, United States Ab InBev Full time

    Electrical Systems SpecialistWe are seeking an experienced Electrical Systems Specialist to join our team. As an Electrical Systems Specialist, you will be responsible for installing, maintaining, and repairing electrical systems and equipment within our facility.Key Responsibilities:Troubleshoot and repair electrical equipmentInstall and replace...