Prior Authorization & Eligibility Specialist

Intermountain Healthcare; Broomfield (CO); On-site; USD 26,000 - 39,000; Full time

Job summary

Intermountain Health is seeking a Pre-Access Authorization Specialist I in Broomfield, Colorado. You will verify insurance eligibility, obtain necessary prior authorizations, and manage related denials to support patient financial health.

The role emphasizes accuracy, customer service, and adherence to regulatory standards while coordinating with care teams and patients to secure timely authorizations.

Qualifications

• High School Diploma or 4 years revenue cycle experience.
• Minimum of 2 years insurance authorization experience.
• Strong understanding of eligibility, benefits, and prior authorization processes.

Responsibilities

• Verify and update patient and guarantor demographic data and insurance details.
• Verify insurance eligibility, benefits, and prior authorization; follow up on appeals/denials as requested.
• Contact patients/providers when authorization is not secured prior to service date.
• Escalate unresolved issues and manage workload to meet productivity and quality standards.

Skills

Revenue cycle

Tech proficiency

Customer service

Time management

Medical terminology

Medical coding

Education

High School Diploma

Job description

Intermountain Health is seeking a Pre-Access Authorization Specialist I in Broomfield, Colorado. You will verify insurance eligibility, obtain necessary prior authorizations, and manage related denials to support patient financial health.

The role emphasizes accuracy, customer service, and adherence to regulatory standards while coordinating with care teams and patients to secure timely authorizations.