What are the responsibilities and job description for the Medical Authorization Specialist position at Idaho Urologic Institute?
Join Our Team as a Medical Authorization Specialist!
Are you passionate about ensuring patients get the medications they need without delays? Our well-established medical group is seeking a Medical Authorization Specialist to play a vital role in patient care by managing prior authorizations for high-cost, specialty medications—including biologics, injectables, and infusion therapies. In this key administrative position, you'll be the bridge between providers, payers, pharmacies, and patients, ensuring access to life-changing treatments.
What You’ll Do:
- Review provider orders for specialty medications and navigate payer-specific prior authorization requirements.
- Submit and manage prior authorizations for high-cost medications through payer portals, fax, and phone.
- Monitor daily authorization statuses to prevent delays in patient care.
- Prepare and submit clinical documentation, letters of medical necessity, and appeals when needed.
- Collaborate with clinical staff, billing teams, and external specialty pharmacies to coordinate care seamlessly.
- Track approvals/denials and document thoroughly in the patient EMR.
- Stay up-to-date on insurance guidelines, including Medicare, Medicaid, commercial plans, and specialty pharmacy benefit managers.
What We’re Looking For:
- 2 years of experience in prior authorizations for specialty or high-cost medications preferred.
- Medical Assistant or LPN preferred.
- Strong understanding of commercial insurance, Medicare Part B & D, and pharmacy vs. medical benefit distinctions.
- Experience with payer portals.
- Familiarity with specialty medications for chronic conditions is a plus.
- Exceptional attention to detail and ability to manage a high-volume workload.
- EMR experience required.
- Strong written and verbal communication skills.
Why You’ll Love Working With Us:
- Competitive salary based on experience.
- Monday–Friday schedule—no weekends or evenings!
- Comprehensive employee benefits.
- Supportive, team-oriented environment where your contributions truly matter.
- Opportunity to work closely with clinical professionals passionate about patient care and making a difference in patients’ lives.
Take the next step in your career and help ensure patients get the treatments they need!
Job Type: Full-time
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Parental leave
- Professional development assistance
- Referral program
- Tuition reimbursement
- Vision insurance
Work Location: In person
