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Beacon Clinic

Prior Authorization Specialist

Beacon Clinic, Coeur D Alene, Idaho, United States, 83814

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Prior Authorization Specialist

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Beacon Clinic

Why Join Us? Beacon Clinic was founded for the purpose of delivering a level of care that we, as a team, can all be proud of. We are a patient-focused health and wellness clinic that is committed to providing the highest quality of medical care and supportive services. When founded, we specialized in the treatment of cancer and blood conditions. Today, we provide medical oncology and hematology, radiation oncology, rheumatology, and urology services to our phenomenal patients.

Job Description Beacon Clinic was founded in 2018 by Dr. David Bartels, focusing on cancer and blood conditions. Today, we provide care services to Medical Oncology and Hematology, Radiation Oncology, Rheumatology, and Urology patients. We are also dedicated to advancing the field by engaging in clinical research and offering our patients the opportunity to participate in various clinical trials.

Responsibilities

Coordinates insurance approvals, prior authorizations, and appeals with private and government payers, including Medicare, HMOs/PPOs, and clinical trials.

Communicates with patients and families to provide treatment estimates, discuss financial responsibilities, and establish payment arrangements.

Verifies insurance coverage regularly and resolves billing or reimbursement issues to avoid treatment delays.

Prepares and documents patient accounts accurately for supervisor approval, ensuring billing compliance and use of proper codes.

Collaborates with providers and the patient access manager to identify and resolve financial barriers before treatment begins.

Demonstrates professionalism through self-directed work, ongoing development, and encouraging innovative problem‑solving.

This list outlines the core responsibilities of the position but is not all-inclusive.

Required Skills/Abilities

Compassionate and caring bedside manner

Strong written and verbal communication skills

Comfortable on phone

Ability to work extremely well in a group setting

Ability to interpret billing manuals, insurance and/or other third‑party coverage

Understanding of the third‑party review process, payer funding and authorization procedures to ensure payment, and government/state payers, including eligibility factors

Knowledge of medical and insurance terminology is required

Understanding on how to prioritize workload and possess ability to meet tight time frames

Ability to work under minimal supervision, with detail and possess problem‑solving and follow‑through skills

Must have ability to concentrate on detail in the middle of other activities

Interested in ongoing personal development, professional growth, and continuing education a plus

Education

High school education or GED required

Experience with Insurance and Prior Authorization strongly preferred

Physical Requirements

Prolonged periods of sitting at a desk and working on a computer.

Must be able to lift up to 15 pounds at times.

Location

3815 N Schreiber Way, Suite 101, Coeur d’Alene, ID 83815

Willing to float to other locations if needed

On‑Site

Benefits

Paid Time Off

8 paid, closed‑clinic holidays

Health Insurance, including dental and vision

401(k) Plan with match

Professional Development Fund

Employee Assistance Program

Pay Starting at $22.00/hour

Beacon Company Mission To meet patients wherever they are on their cancer journey and walk with them on that journey; to provide compassionate, personalized cancer care for an unparalleled patient experience.

Beacon Core Values Compassion. Grace. Honesty. Humor. Respect. Trust.

Seniority Level Entry level

Employment Type Full‑time

Job Function Other

Industries Hospitals and Health Care

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