Patient Access Assoc I Insurance Authorization Specialist

Intermountain Healthcare; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a Pre-Access Authorization Specialist I, responsible for verifying insurance eligibility and securing authorizations. You will manage denials and ensure quality in your work, contributing to both individual and departmental standards. This is an opportunity to work within a dynamic team at the Peaks Regional Office in Broomfield, Colorado.

Benefits

Comprehensive benefits package

Health and wellness programs

Qualifications

• At least 2 years of insurance authorization experience is required.
• Knowledge of medical terminology and coding is beneficial.

Responsibilities

• Verify insurance eligibility and authorization before services.
• Manage denials and ensure quality in departmental work queues.
• Contact patients when authorizations are not secured.

Skills

Knowledge of revenue cycle processes

Technical and technological proficiency

Customer service skills

Time management abilities

Medical terminology knowledge

Medical coding proficiency

Education

High School Diploma or equivalent

4 years of revenue cycle experience

Job description

Job Description:

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

Essential Functions

1. Confirm, enter, and update demographic data on patient and guarantor records.
2. Verify insurance eligibility, benefits, and authorization; follow up on appeals and denials as needed.
3. Contact patients or providers when authorization is not secured prior to scheduled services.
4. Escalate unresolved issues appropriately.
5. Manage departmental and individual work queues, ensuring quality and diligence.
6. Meet or exceed productivity, quality, and diligence standards.
7. Promote organizational mission, vision, and values, adhering to service standards.

Skills

• Knowledge of revenue cycle processes
• Technical and technological proficiency
• Customer service skills
• Time management abilities
• Medical terminology knowledge
• Medical coding proficiency

Qualifications

• High School Diploma or equivalent, or 4 years of revenue cycle experience
• At least 2 years of insurance authorization experience

Physical Requirements

• Ability to see, read, and interpret information on screens and labels
• Effective communication skills for interactions with customers and team members
• Manual dexterity for handling equipment and computer use

For roles involving driving: Ability to drive safely, with good vision and awareness of traffic signals and signs.

Location: Peaks Regional Office, Broomfield, Colorado

Work Hours: 40 hours per week

The hourly rate ranges from $19.97 to $29.33, depending on experience.

We offer a comprehensive benefits package to support your well-being, including health, wellness, and engagement programs. Learn more about our benefits here.

Intermountain Health is an equal opportunity employer. We value diversity and encourage all qualified candidates to apply.

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All positions are subject to closure without notice.