Beacon Cancer Care 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 boutique cancer center that is committed to providing the highest quality of medical care and supportive services. We specialize in the treatment of cancer and blood conditions, and we are dedicated to advancing the field by engaging in clinical research.

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

Job Duties Include:

• Serves as support to patients and their family members to assure patients have access to all available funding, working with private as well as governmental agencies (i.e., private insurance, HMO/PPO’s, Medicare, obtaining grants, copay cards)
• Prepares patient accounts for Supervisor’s approval
• Determines patients’ ability to pay and secure repayment arrangement with patients while following Beacon’s established polices
• Provides estimates to patients for planned treatments
• Identifies both patient and Beacon expectations and strives to exceed them
• Actively participates in and encourages others to utilize creative and innovative approaches to accomplish tasks
• Demonstrates responsibility for ongoing personal development, professional growth, and continuing education
• Performs duties in a self-directed manner with minimal supervision or direction
• Ensures that routine and priority tasks are completed within established departmental time frames
• Discuss medications, insurance and prior authorization documents with patients.
• Get prior authorization approval from insurance firms/companies.
• Communicates with other facilities for scheduling in a courteous manner
• Coordinates with patient on scheduling for procedures, imaging, and external providers when applicable
• Appeal insurance companies after prior authorization refusals.
• Assess accounts for completeness and accuracy.
• Follow up on missing or incorrect information so patients receive the right reimbursement.
• Document account activity using correct medical and billing codes.

Required Skills/Abilities:

• Compassionate and caring bedside manner
• Strong written and verbal communication skills
• Comfortable on phone
• Ability to work extremely well in a group setting
• Ability to interpret billing manuals, insurance and/or other third-party coverage
• Understanding of the third-party review process, payer funding and authorization procedures to ensure payment, and government/state payers, including eligibility factors
• Knowledge of medical and insurance terminology is required
• Understanding on how to prioritize workload and possess ability to meet tight time frames
• Ability to work under minimal supervision, with detail and possess problem-solving and follow-through skills
• Must have ability to concentrate on detail in the middle of other activities
• Interested in ongoing personal development, professional growth, and continuing education a plus

Location:

• One location: 980 W Ironwood Drive, Suite 207, Coeur D'Alene, Idaho 83814

Benefits:

• Paid Time Off
• Health Insurance, including dental and vision
• 401(k) Plan
• 8 paid, closed-clinic holidays
• gym membership
• professional development fund

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.