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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. This is a remote position that will require 4-6 weeks training in Boise, Idaho.
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 three (3) 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 or Oregon
Preferred Qualifications
• EPIC experience
• 2 years direct experience with infusion, home infusion authorizations or medical authorizations
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 Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.
St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.
• Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.
