• Infusion Authorization Specialist

    St. Luke's Health System (Boise, ID)


    Overview

     

    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 8-12 weeks training in Boise, Idaho._**

     

    **Shift details:** Monday-Friday 8:30am-5pm

    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, Arizona, Utah 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 Personify Health 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.

    **Default: Location : City** _Remote_

    **Category** _Admin/Clerical/Customer Support_

    **Work Unit** _340B Pharmacy Boise Hospital_

    **Position Type** _Full-Time_

    **Work Schedule** _DAY_

    **Requisition ID** _2025-105851_

    **Default: Location : Location** _US-ID-Boise_

    **Work Location : Name** _Remote_