Pre Access Authorization Specialist I

Intermountain Healthcare Inc.; Trenton (NJ); Remote; USD 27,000 - 39,000; Full time

Job summary

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

Key duties include updating demographics, checking eligibility/benefits, contacting providers when authorization is unsecured, escalating unresolved issues, and maintaining quality standards.

Qualifications

• High School Diploma or equivalent, or 4 years revenue cycle experience.
• Minimum 2 years of insurance authorization experience.
• Familiarity with eligibility verification and prior authorization processes.

Responsibilities

• Verifies patient demographics and updates records as needed.
• Accurately checks insurance eligibility, benefits and authorizations; follows up on appeals/denials.
• Contacts patient/provider when authorization is unsecured before service date.
• Escalates unresolved issues to appropriate teams.
• Maintains work queues and self‑quality for due diligence.
• Meets productivity, due diligence and quality standards.
• Upholds mission, vision and service behavior standards.

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

Minimum of 2 years insurance authorization experience

Job description

Fully Remote

Peaks Regional Office

Full time

R185814

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.

All positions subject to close without notice.

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’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.

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

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