Pre Access Authorization Specialist I

Intermountain Healthcare Inc.; Stati Uniti; In loco; USD 27.000 - 39.000; Tempo pieno

Descrizione del lavoro

Intermountain Health seeks a Pre-Access Authorization Specialist I to verify insurance eligibility, obtain prior authorization, and manage related denials to support patient financial health.

Located at Peaks Regional Office in Colorado, the role requires accurate data entry, effective communication with patients and providers, and adherence to productivity and quality standards.

Competenze

• High School Diploma or equivalent and/or revenue cycle experience required.
• Minimum of 2 years insurance authorization experience.

Mansioni

• Verifies and updates patient and guarantor demographic data.
• Verifies insurance eligibility, benefits, and authorization; follows up on appeals/denials.
• Contacts patient/provider when authorization is unsecured before service date.
• Escalates unresolved issues to appropriate parties.
• Maintains work queues and performs self-audits for due diligence.
• Meets productivity, due diligence, and quality standards while upholding service values.

Conoscenze

Revenue cycle knowledge

Technical/technology acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Formazione

High School Diploma/Equivalent OR 4 years of revenue cycle experience

Descrizione del lavoro

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 & Compensation

Location: Peaks Regional Office
Work City: Broomfield
Work State: Colorado
Scheduled Weekly Hours: 40
Hourly range: $19.41 - $28.14

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.

Legal & Privacy

By applying for a position with Intermountain, I acknowledge that I will comply with all applicable Intermountain policies and expectations. If applying for a remote or hybrid role, this includes remote work expectations related to confidentiality, information security, work schedules, conflicts of interest, and use of company equipment. I further acknowledge that outside employment or activities may not interfere with job responsibilities or create a conflict of interest with Intermountain. Actual or reasonably perceived conflicts may be grounds for disqualification from consideration or, if hired, corrective action up to and including termination of employment.

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.

All positions subject to close without notice.

Company

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.

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.

Other duties may be assigned by the supervisor. All positions subject to close without notice.