Pre-Access Authorization Specialist

Intermountain Health; Broomfield (CO); Remote; USD 27,000 - 39,000; Full time

Job summary

Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote, full-time role. You will verify insurance eligibility, secure prior authorizations, and manage related denials to safeguard patient financial health.

You will handle demographics, verify benefits and authorizations, contact patients or providers to obtain authorization, escalate unresolved issues, and support quality and productivity standards while aligning with our mission and values.

Qualifications

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

Responsibilities

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

Skills

Revenue cycle

Tech acumen

Customer service

Time management

Medical terminology

Medical coding

Competency

Education

High School Diploma

Job description

Fully Remote

Peaks Regional Office

Full time

R184045

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.

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

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.

$19.41 - $28.14

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.

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.

Headquartered in Utah with locations in six primary states and additional operations across the western U.S., Intermountain Health is a nonprofit system of 34 hospitals, 400 clinics, a medical group of more than 4,800 employed physicians and advanced care providers, a health plan division called Select Health with more than one million members, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact 1-800-843-7820 or email [e-mail] . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100 learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/peak-program/)

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

Thanks for your interest in continuing your career with our team!