Prior Authorization Specialist

Job Description

Job Description

Salary : $20 / hr and up! Your experience matters ~ Let's Talk Pay!

Beacon Clinic was founded for the purpose of delivering a level of care that we, as a team, can all be proud of. We are a patient-focused center that is committed to providing the highest quality of medical care and supportive services. We were founded in 2018 by Dr. David Bartels, focusing on cancer and blood conditions. Today, we provide care services to Medical Oncology and Hematology, Radiation Oncology, Rheumatology, and Urology patients. We are also dedicated to advancing the field by engaging in clinical research and offering our patients the opportunity to participate in various clinical trials. Learn more about us at ourwebsite.

Beacon has an excellent opportunity available within our clinic as a Prior Authorization Specialist. If you are looking for exciting, flexible, and stimulating work with meaningful advancement opportunities available, then consider Beacon the right place for you!

Duties / Responsibilities :

• Coordinates insurance approvals, prior authorizations, and appeals with private and government payers, including Medicare, HMOs / PPOs, and clinical trials.
• Communicates with patients and families to provide treatment estimates, discuss financial responsibilities, and establish payment arrangements.
• Verifies insurance coverage regularly and resolves billing or reimbursement issues to avoid treatment delays.
• Prepares and documents patient accounts accurately for supervisor approval, ensuring billing compliance and use of proper codes.
• Collaborates with providers and the patient access manager to identify and resolve financial barriers before treatment begins.
• Demonstrates professionalism through self-directed work, ongoing development, and encouraging innovative problem-solving.

This list outlines the core responsibilities of the position but is not all-inclusive.

Required Skills / Abilities :

Education :

Physical Requirements

Location

Willing to float to other locations if needed

Benefits

Beacon Company Mission : To meet patients wherever they are on their cancer journey and walk with them on that journey; to provide compassionate, personalized cancer care for an unparalleled patient experience.

Beacon Core Values : Compassion. Grace. Honesty. Humor. Respect. Trust.

Our providers and staff at Beacon share these values and truly embody the mission of Beacon. Our team is comprised of the most devoted, compassionate individuals who consistently go above and beyond for patients and who strive to continually improve patient care and the overall patient experience.