Patient Access Associate Insurance Authorization Specialist I

Intermountain Healthcare; United States; On-site; USD 10,000 - 60,000; Full time

Job summary

Intermountain Healthcare is seeking a Pre-Access Authorization Specialist I to join their Broomfield office. This role involves verifying insurance eligibility and managing prior authorizations to support patient financial health. Candidates should possess strong customer service skills and relevant experience in medical coding. Competitive hourly pay and a comprehensive benefits package are included.

Qualifications

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

Responsibilities

• Verify and complete insurance eligibility and prior authorization.
• Contact patient/provider about unsecured authorization.
• Maintain work queues and review self-quality.

Skills

Revenue cycle knowledge

Technical/technology acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Education

High School Diploma/Equivalent

4 years of revenue cycle 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.

The following states are currently paused for sourcing new candidates or for new relocation requests from current caregivers: California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, Washington

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

Physical Requirements:

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

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

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

$19.97 - $29.33

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.

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.

At Intermountain Health, we usethe artificial intelligence ("AI") platform, HiredScore to improve your job application experience.HiredScore helps match your skills and experiences to the best jobs for you. WhileHiredScore assists in reviewing applications, all final decisions are made byIntermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.

All positions subject to close without notice.