Prior Authorization Specialist - Allergy (Part Time)

You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.

Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years.  Click here to learn more!

Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting.  Click here to learn more!

Prior Authorization Specialist - Allergy (Part Time)
ALLERGY (BILLINGS CLINIC WEST END)
req12098

Shift:  Day
Employment Status:  Part-Time (.5 - .74)
Hours per Pay Period:  0.50 = 40 hours every two weeks (Non-Exempt)
Starting Wage DOE:  $17.15 - $21.44

Responsible for performing all tasks associated with the prior authorization process. Coordinate with/educate physicians, nursing staff and other health care providers on the authorization process and requirements. Works as a patient advocate and functions as a liaison between the patient, staff and payer to answer reimbursement questions and avoid insurance delays. Tracks, documents, and monitors authorizations. Implements check and balance systems to ensure timely compliance.

Essential Job Functions

• Supports and models behaviors consistent with Billings Clinic’s mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• Performs all other duties as assigned or as needed to meet the needs of the department/organization
• Coordinates authorization process ensuring authorization has been accurately obtained in a timely manner, collecting all necessary documentation, including contacting the patient for additional information if necessary.
• Proactively Identifies and initiates authorization requirements for individual payers and communicates with payer sources in a timely manner to obtain necessary authorization.
• Documents and maintains patient authorization data within Cerner. Documents and tracks authorizations using established process.
• Reports denials and/or delays in authorization process to physicians/other health care providers and/or the patient.
• Develops and maintains collaborative working relationships with payers, patient financial services, MAP, Specialty Pharmacy and health care team.
• Reports non-compliance issues to department specific leadership team.
• Track