Contracts Administration Director jobs in Idaho Falls, ID

Description

Mountain View Hospital is looking for a Prior Authorization Specialist to join our team!

JOB SUMMARY:

Oversees daily prior authorization process for surgical patients to provide patients with the best possible care experience.

 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.

DUTIES AND RESPONSIBILITIES:

Prior-Authorization Specialist
1. Plans and directs prior authorization processes, patient insurance, and monitors all aspects of insurance authorizations for accurate and complete processing of authorizations to include follow-up on pended cases, as well as denials.
2. Reviews samples of prior authorizations of team members to ensure accuracy.
3. Develops or upkeeps communication with providers regarding authorizations.
4. Monitors reimbursement of selected procedures with coder to verify claims are getting paid.
5. Distributes authorization changes to team timely.
6. Ability to work well with others; be a positive example and motivating personality within the clinic.
7. Conduct regular meetings with all staff. Serves on hospital wide committees as assigned.
8. Oversee clinic training/education

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.

Qualifications

Education/Certification: High School Diploma or equivalent.

Experience:  Minimum of two years healthcare experience in billing, accounting or information systems.

Equipment/Technology:  Must be able to use Microsoft Office, Word and Excel, required EMR, and any additional portals for prior authorizations.

Language/Communication:  Must have the sensitivity, maturity, and ability to communicate clearly and concisely, both verbally and in writing.

Mathematical Skills:  General mathematics.

Mental Capabilities:  Can concentrate for long periods of time in order to complete assigned tasks with a better than average attention span in order to listen, read and remember verbal and written instructions. 

Interpersonal:  Ability to work well with others.

Performance:   Full-time position requiring some weekends and holidays.