Infusion Authorization Specialist - 153258

Description & Requirements

At St. Luke’s, Infusion Authorization Specialists are a pivotal role that involves extensive interaction with various internal and external stakeholders. These subject matter experts engage with insurance companies, third-party payers, prescription benefit management companies, governmental peer review organizations, and referring physicians’ offices. Position will be an authorization team member attached to home infusion, working alongside an experienced team. This is a remote position that will require 4 weeks training in Meridian, Idaho.

Shift Details

Shift details: Monday-Friday 7:30am-4pm

What you can expect from this role

• obtaining insurance prior authorizations for episode-based infusion treatment referrals primarily administered in SLHS non-oncology infusion centers
• providing clear and effective communication to guide providers, patients, and insurance companies through the authorization process. This includes multitasking and communicating via Microsoft Teams, Outlook, and Epic
• working proficiently in various insurance portals to submit prior authorizations, perform benefits investigations, and follow up on submission statuses.
• other duties as assigned

Minimum Qualifications for this Role

• Education: High School Diploma or Equivalent
• At least two (2) years of healthcare experience, specifically in one or more of the following areas: authorization, billing, registration, financial advocacy, or home infusion authorizations.
• Must live in Idaho, Arizona, Utah or Oregon

Preferred qualifications

• EPIC experience
• authorization experience a plus, but not strictly required. Will train for the right candidate. Must be a dynamic learner.

What's In It For You

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

About the Role

Position will be an authorization team member attached to home infusion, working alongside an experienced team. This is a remote position that will require 4 weeks training in Meridian, Idaho.

Responsibilities

• obtaining insurance prior authorizations for episode-based infusion treatment referrals primarily administered in SLHS non-oncology infusion centers
• providing clear and effective communication to guide providers, patients, and insurance companies through the authorization process. This includes multitasking and communicating via Microsoft Teams, Outlook, and Epic
• working proficiently in various insurance portals to submit prior authorizations, perform benefits investigations, and follow up on submission statuses.
• other duties as assigned

Requirements

• Education: High School Diploma or Equivalent
• At least two (2) years of healthcare experience, specifically in one or more of the following areas: authorization, billing, registration, financial advocacy, or home infusion authorizations.
• Must live in Idaho, Arizona, Utah or Oregon

Qualifications

• Education: High School Diploma or Equivalent
• At least two (2) years of healthcare experience, specifically in one or more of the following areas: authorization, billing, registration, financial advocacy, or home infusion authorizations.
• Must live in Idaho, Arizona, Utah or Oregon

Skills

• EPIC experience
• authorization experience a plus, but not strictly required. Will train for the right candidate. Must be a dynamic learner.

Benefits

In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

Pay

Competitive salary

Schedule

Monday-Friday 7:30am-4pm