Pre-Access Authorization Specialist 1 PRN

Intermountain Health; Austin (TX); Remote; USD 60,000 - 80,000; Part time

Job summary

A healthcare organization is seeking a Pre-Access Authorization Specialist I to ensure accurate insurance eligibility verification and authorization management in a remote PRN capacity. Responsibilities include updating patient data, verifying benefits, and handling authorizations with a focus on patient financial health. Candidates should have a high school diploma or four years of revenue cycle experience, along with a minimum of two years in insurance authorization. Competitive hourly compensation offered.

Benefits

Generous benefits package

Wellness programs

Qualifications

• High School Diploma or four years of revenue cycle experience required.
• Minimum of two years of insurance authorization experience preferred.

Responsibilities

• Confirm and update demographic data on patients and guarantors.
• Verify insurance eligibility and benefits, handling appeals and denials.
• Contact patients/providers if authorization is not secured.
• Escalate unresolved issues as necessary.
• Maintain work queues and quality standards.

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

Overview

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. This is a remote PRN position "As needed".

Responsibilities

• Confirms, enters, and/or updates required demographic data on patient and guarantor
• Accurately verifies all pertinent patient related insurance eligibility, benefits, and 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 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

Location

Peaks Regional Office

Work City

Broomfield

Work State

Colorado

Scheduled Weekly Hours

0

Compensation

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

$18.81 - $27.45

Benefits

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 (https://intermountainhealthcare.org/careers/benefits).

Equal Opportunity

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.

All positions subject to close without notice.