Pre-Access Authorization Specialist 1 PRN

Intermountain Health; Raleigh (NC); Remote; USD 60,000 - 80,000; Part time

Job summary

A healthcare organization is seeking a Pre-Access Authorization Specialist I to work remotely as needed. This role focuses on accurately verifying insurance eligibility, securing prior authorization, and managing denials. Candidates should possess a high school diploma or equivalent, with at least 2 years of insurance authorization experience. A comprehensive benefits package is offered.

Benefits

Generous benefits package

Wellness programs

Qualifications

• Minimum of 2 years insurance authorization experience required.

Responsibilities

• Verify and complete insurance eligibility.
• Secure prior authorization for services.
• Manage authorization-related denials.

Skills

Revenue cycle knowledge

Technical/technology acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Education

High School Diploma/Equivalent or 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.