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Payor Authorization Specialist - Full Time at Loyola Medicine - ApplyBlast

Payor Authorization Specialist - Full Time

Loyola Medicine

4 months ago

3.1 on Glassdoor

Boise, Idaho

Onsite

Full Time

Junior

0 applicants

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About this role

A Medical Coding Specialist verifies insurance benefits and obtains prior authorizations for clinical procedures, diagnostics, and operative services. The role involves calculating patient financial responsibility based on deductibles and co-insurance, then communicating these details to clinic staff. Professionals must navigate complex payers like Medicare and Medicaid while maintaining high accuracy in coding and documentation.

Responsibilities

Process and verify insurance benefits for clinical procedures
Assign CPT and ICD codes for prior authorization requests
Communicate patient financial responsibility to clinic staff
Navigate Medicare, Medicaid, and private payer regulations
Accurately document authorization status in patient records

Skills

Qualifications

High School DiplomaMedical Coding CertificationMedical Billing CertificationMedical Assistant CertificationSurgical Coordination Experience

About Loyola Medicine

loyolamedicine.org

Headquarters

Maywood, Illinois, United States

Company Size

5001-10000 employees

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Loyola Medicine is a not-for-profit health system providing comprehensive medical care across its hospitals and outpatient facilities in Illinois, including Loyola University Medical Center, Gottlieb Memorial Hospital, and MacNeal Hospital. The organization offers urgent and specialty care, telehealth visits, online scheduling, patient portal access (MyChart), and streamlined access to medical records and billing.