Prior Authorization Specialist I - Patient Access

Intermountain Health; United States; On-site; USD 26,000 - 39,000; Full time

Job summary

Intermountain Health seeks a Pre-Access Authorization Specialist I to verify demographics, eligibility, benefits, and prior authorizations for services at Peaks Regional Office in Colorado. The role supports patient financial health and requires strong attention to detail and regulatory understanding.

You will manage authorization follow-ups, coordinate with patients and providers, escalate unresolved issues, and maintain productivity and quality standards in a fast-paced environment.

Qualifications

• High School Diploma/Equivalent OR 4 years revenue cycle experience.
• Minimum of 2 years insurance authorization experience.

Responsibilities

• 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 acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Education

High School Diploma/Equivalent

4 years revenue cycle experience

Job description

Intermountain Health seeks a Pre-Access Authorization Specialist I to verify demographics, eligibility, benefits, and prior authorizations for services at Peaks Regional Office in Colorado. The role supports patient financial health and requires strong attention to detail and regulatory understanding.

You will manage authorization follow-ups, coordinate with patients and providers, escalate unresolved issues, and maintain productivity and quality standards in a fast-paced environment.