Pre-Access Authorization Specialist

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

Job summary

Intermountain Healthcare is seeking a Pre-Access Authorization Specialist I to ensure accurate insurance eligibility verification and manage authorization processes. This role involves confirming patient data, handling denials, and maintaining productivity standards. The ideal candidate should possess strong revenue cycle knowledge and customer service skills, with a commitment to the organization's mission and values.

Benefits

Comprehensive benefits package

Qualifications

• Minimum of 2 years insurance authorization experience.

Responsibilities

• Verifies insurance eligibility and secures prior authorization.
• Manages authorization-related denials to ensure patient financial health.
• Contacts patients/providers when authorization is unsecured.

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.

Shifts:

Between 7:30am - 6pm MST

Essential Functions:

• Confirms, enters, and/or updates required demographic data on patient and guarantor
• Accurately verifies all pertinent patient-related insurance eligibility, benefits, authorization; follows 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 to see and read information, labels, monitors, identify equipment and supplies, and assess customer needs
• Frequent interactions with customers require effective communication and quick understanding of spoken information, alarms, needs, and issues
• Manual dexterity for manipulating complex and delicate equipment with precision, including computer, phone, and cable setup and use

Additional Physical Requirements:

• For roles requiring driving: Ability to drive a vehicle, requiring sitting, seeing, and reading signs, traffic signals, and other vehicles

Location:

Peaks Regional Office, Broomfield, Colorado

Work Hours:

40 hours per week

Compensation:

Hourly range: $19.97 - $29.33 (dependent on experience)

Benefits:

We offer a comprehensive benefits package supporting your well-being, including programs for living healthy, happy, secure, connected, and engaged. Learn more here.

Equal Opportunity Employment:

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration regardless of race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

AI Recruitment Notice:

We use the AI platform HiredScore to enhance your application experience. Final hiring decisions are made by Intermountain personnel to ensure fairness. Your privacy is protected and data is used solely for recruitment purposes.

All positions are subject to closing without notice.