Pre-Access Authorization Specialist

Intermountain Healthcare; Broomfield (CO); On-site; USD 26,000 - 39,000; Full time

Job summary

Intermountain Health is seeking a Pre-Access Authorization Specialist I in Broomfield, Colorado. You will verify insurance eligibility, obtain necessary prior authorizations, and manage related denials to support patient financial health.

The role emphasizes accuracy, customer service, and adherence to regulatory standards while coordinating with care teams and patients to secure timely authorizations.

Qualifications

• High School Diploma or 4 years revenue cycle experience.
• Minimum of 2 years insurance authorization experience.
• Strong understanding of eligibility, benefits, and prior authorization processes.

Responsibilities

• Verify and update patient and guarantor demographic data and insurance details.
• Verify insurance eligibility, benefits, and prior authorization; follow up on appeals/denials as requested.
• Contact patients/providers when authorization is not secured prior to service date.
• Escalate unresolved issues and manage workload to meet productivity and quality standards.

Skills

Revenue cycle

Tech proficiency

Customer service

Time management

Medical terminology

Medical coding

Education

High School Diploma

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.We are committed to offering flexible work options where approved and stated in the job posting. However, we are currently not considering candidates who reside or plan to reside in the following states: California, Connecticut, Hawaii, Illinois, Massachusetts, Minnesota, New York, Pennsylvania, Rhode Island, Virginia Vermont, Washington. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. ”Video phone screens and interview(s) through Microsoft Teams will be required as well for fully remote position.Essential FunctionsConfirms, enters, and/or updates required demographic data on patient and guarantorAccurately verifies all pertinent patient related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requestedContacts patient/provider when authorization is unsecured prior to scheduled date of serviceEffectively escalates issues which cannot be resolved independentlyMaintains departmental/individual work queues and reviews self-quality for due diligenceMeets or exceeds departmental productivity, due diligence and quality standardsPromotes mission, vision, and values and abides by service behavior standardsSkillsRevenue cycle knowledgeTechnical/technology acumenCustomer serviceTime managementMedical terminologyMedical codingCompetency proficiencyQualificationsHigh School Diploma/Equivalent OR 4 years of revenue cycle experienceMinimum of 2 years insurance authorization experiencePhysical RequirementsOngoing 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 OfficeWork City:BroomfieldWork State:ColoradoScheduled Weekly Hours:40The hourly range for this position is listed below. Actual hourly rate dependent upon experience.$19.41 - $28.14We 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.By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.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 use the artificial intelligence (\"AI\") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain 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.