Job Profile Name Pre-Access-Authorization Specialist I PRN

Intermountain Health; Indianapolis (IN); Remote; USD 60,000 - 80,000; Part time

Job summary

A healthcare organization is seeking a Pre-Access Authorization Specialist I to verify insurance eligibility and manage prior authorization processes. This remote PRN role involves contacting patients and navigating authorization-related denials to ensure patient financial health. Ideal candidates have experience in revenue cycle and insurance authorization. Competitive hourly pay of $18.81 - $27.45 offered.

Benefits

Generous benefits package

Wellness programs

Flexible work schedule

Responsibilities

• Confirms, enters, and/or updates required demographic data on patient and guarantor.
• Accurately verifies all pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested.
• Contacts patient/provider when authorization is unsecured prior to scheduled date of service.
• Effectively escalates issues which cannot be resolved independently.
• Maintains departmental/individual work queues and reviews self-quality for due diligence.
• Meets or exceeds departmental productivity, due diligence and quality standards.
• Promotes mission, vision, and values and abides by service behavior standards.

Skills

Revenue cycle knowledge

Technical/technology acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Education

High School Diploma/Equivalent or 4 years of revenue cycle experience

Minimum of 2 years insurance authorization experience

Job description

Job Description

The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health.

This is a remote PRN position "As needed"

Essential Functions

• Confirms, enters, and/or updates required demographic data on patient and guarantor
• Accurately verifies all pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested
• Contacts patient/provider when authorization is unsecured prior to scheduled date of service
• Effectively escalates issues which cannot be resolved independently
• Maintains departmental/individual work queues and reviews self-quality for due diligence
• Meets or exceeds departmental productivity, due diligence and quality standards
• Promotes mission, vision, and values and abides by service behavior standards

Skills

• Revenue cycle knowledge
• Technical/technology acumen
• Customer service
• Time management
• Medical terminology
• Medical coding
• Competency proficiency

Qualifications

• High School Diploma/Equivalent OR 4 years of revenue cycle experience
• Minimum of 2 years insurance authorization experience

Physical Requirements

• Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with customers require employees to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.

For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location

Peaks Regional Office

Broomfield

Colorado

Scheduled Weekly Hours

0

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.81 - $27.45

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here (https://intermountainhealthcare.org/careers/benefits).

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.