Bariatric Program Insurance Representative; Not Remote

Employment Type

Full time

Day Shift

At Saint Alphonsus Health System, we are looking for people who are living out their calling. We want you to be passionate about coming to work, and challenged to achieve your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care.

The General Surgical Services clinics are now hiring for an Insurance/Pre-Authorization Representative for the Metabolic and Bariatric Surgery Program!

• This position will support patient referrals for clinical and insurance qualifications for the Metabolic and Bariatric Surgery Program that is required to maintain the bariatric program accreditation.
• This position will work on-site on the Boise Regional Medical Center campus.
• The Metabolic and Bariatric Surgery program helps our patients achieve lasting weight loss and improved health, even curing long standing, obesity-related medical problems like diabetes, high blood pressure, high cholesterol and sleep apnea in many patients. Our program is focused on helping our patients achieve their goals through a comprehensive approach that includes: multi-disciplinary, dietary counseling and education, age and health appropriate exercise and precision, robotic surgery.
• At Saint Alphonsus, our Metabolic and Bariatric Center is an accredited "Comprehensive Center" by the American College of Surgeons. This means our patients can confidently place their trust in our team of experts to achieve excellent surgical weight loss outcomes (https://(Use the "Apply for this Job" box below).) for our patients by following comprehensive safety standards and protocols. Learn more about our clinical outcomes here (https://).

• Receive and confirm insurance related information and coverage from patient referrals for the Metabolic and Bariatric Surgery program.
• Determine necessity for pre-authorization and obtain authorization for scheduled procedures.
• Enter patient insurance information into the patient record (Epic) and document insurance coverage of services to be provided.
• Notify patient of his/her financial responsibility for services to be provided. Notify patients and practitioners of any services requested and/or referred that are not authorized by insurance.
• Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues.
• May work with projects that are insurance and prior authorization related.

• Healthcare front desk experience including outpatient clinic, registration, or billing and coding experience.
• Experience working with different insurance companies, surgeons/physicians, and other outpatient clinic staff.
• Strong written and verbal communication skills.
• Solid critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• You will also be personable, positive, and have a cheerful attitude.

• 40 hours per week, Mondays - Fridays, 7:30am – 4:00pm.
• There may be some flexibility with this schedule.

• Boise Clinic: 1072 N. Liberty Street Ste. 300, Boise,
• Located off of I-184 and Curtis Road

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• High school diploma or equivalent.
• Related healthcare experience preferred.

When Saint Alphonsus takes care of you, you can take better care of our patients. We foster personal and professional growth and offer opportunities that empower our colleagues to develop their careers. Our belief in work-life balance complements the natural beauty, diverse landscapes, and outdoor recreation lifestyle that is unique to Idaho and Oregon.

• We offer market-competitive pay, generous PTO, and multiple options for comprehensive benefits that begin on day one.
• Benefits for your future include retirement planning and matching, college savings plans for your family, and multiple life insurance plans that…