INSURANCE PRE-AUTHORIZATION SPECIALIST

Mountain View Hospital is looking for an Insurance Pre-Authorization Specialist to join our team! 

JOB SUMMARY: Checks appointments and tasks/messages to make sure the diagnosis/documentation will support medical necessity, as per insurance company, and verify that all office visits and procedures that need preauthorization are pre-authorized. Works closely with referring offices to be used as a resource in helping them get necessary paperwork to start pre-authorizations, prove medical necessity, or to perform a retro-authorization. Works closely with co-workers and vendor representatives to get visits/procedures approved. 

About Mountain View: 

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice. 

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply. 

BENEFITS: 

Taking care for our community starts with taking care of our own team. Mountain View Hospital is proud to offer its employees competitive and comprehensive benefit packages. Benefits include: 

• Medical, Dental and Vision Insurance 

• Paid Time Off (vacation, holidays and sick days) and Medical Paid Time Off 

• Retirement Plans (401K with up to 6% match) 

• Earned Quarterly Bonus Program 

• Education Reimbursement Program 

• Discount for medically necessary procedures performed at Mountain View Hospital and Idaho Falls Community Hospital 

Please note benefits are based on eligibility according to full-time, part-time or PRN status classification. 

About Mountain View: 

Mountain View Hospital and our 29 affiliate clinics are committed to providing compassionate, cutting edge care to our patients. We serve the entire Snake River Valley – all the way from Pocatello to Rexburg. Our medical capabilities span everything from wound care to urgent care, oncology to neurology, physical therapy to speech therapy, a Level III NICU, robust robotic surgery department and a continuously expanding rural health practice. 

Our work environment is mission driven, people-centric and supportive. It is what sets apart and makes people excited to come to work each day. If you are looking for a career where you can make a difference in your community, we invite you to apply. 

Education:  High School graduate or equivalent. Knowledge of diagnoses and CPT codes for pain management services preferred.

Experience: Prior experience with coding and billing for outpatient billing is preferred.

Language/Communication: Ability to communicate well with patients, co-workers and vendor representatives.

Mental Capabilities:  Continuously able to concentrate on fine detail with interruptions and continuously able to attend to task/function for an extended period of time.  Ability to learn computer programs and input data as required.

Interpersonal:  Ability to work well with others.

Performance:<