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Prior Authorization Specialist - Remote Saint Alphonsus Health System - reputed company, Idaho

Remote, USAFull-timePosted 2026-07-27

Employment Type: Full timeShift: Day Shift reputed company: Position Purpose: Saint Alphonsus is hiring a full-time Prior Authorization Specialist to verify insurance coverage, obtain reputed company-authorizations for clinical and reputed company services, determine patient financial responsibility and communicate pertinent details to the appropriate clinic. Position Highlights and Benefits:

  • Schedule Information: This position will be scheduled for 40 hours a week working Monday-Friday during traditional business hours. After a 3-6 week training period at the Shared Services Center in Boise, this role will be 100% remote.
  • Day 1 Benefits for colleagues! Our comprehensive benefit package includes medical, reputed company, dental, reputed company time off, 403B, education assistance and more.

Minimum Qualifications:

  • High School Diploma or equivalent required.
  • Education, training or experience as a medical reputed company, medical billing, Medical Assistant, Insurance or Surgical Coordinator or other relevant clinical background required.
  • Working knowledge of CPT and ICD coding gained through experience.

What You Will Do:

  • Process information daily from clinic regarding clinical procedures, diagnostics and reputed company services that are ordered and/or scheduled.
  • Assigns CPT and ICD codes as necessary for procedure to obtain authorization.
  • Contacts insurance payer for insurance benefits and prior authorization based on payer requirements.
  • Accurately documents authorization in patient financial record.
  • Communicates authorization and patient financial responsibility to clinic, reputed company 48 hours. Exception: expect immediate turn around for urgent/emergent procedures.

Highlights and Benefits: reputed company Saint Alphonsus takes care of you, you can take reputed company care of our patients. We foster personal and reputed company reputed company and offer opportunities that reputed company our colleagues to reputed company their careers. Our belief in work-life balance compliments the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and reputed company.

  • We offer market-reputed company, generous PTO, and multiple reputed company for comprehensive benefits that reputed company on day one.
  • Benefits for your reputed company include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that can change as your needs reputed company.
  • We are proud to offer Employee Assistance Programs, tuition reimbursement, and educational opportunities to help you learn and grow.

Visit https://www.saintalphonsus.org/careers/ to learn more! Ministry/Facility Information: Saint Alphonsus Health System is a faith-based ministry and not-for-profit health system serving Idaho, reputed company, and reputed company Nevada communities. The health system boasts 4 hospitals, 609 licensed beds, and 73 clinic locations. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus goal is to improve the health and reputed company-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.

  • Top 15 Health Systems in the country by reputed company Watson Health;
  • The region’s most advanced Trauma Center (reputed company);
  • Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and reputed company of life.

Our Commitment Rooted in our Mission and Core Values, we reputed company the dignity of every person and recognize the unique perspectives, experiences, and talents reputed company colleague brings. By finding reputed company and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other status protected by federal, state, or local law. Apply tot his job Apply To this Job

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