Prior Authorization Specialist I – Patient Access & Appeals

10700 Revenue Cycle Organization; United States; On-site; USD 27,000 - 39,000; Full time

Job summary

Intermountain Health is seeking a Pre-Access Authorization Specialist I to verify eligibility, obtain prior authorizations, and manage denials to support patient financial health.

You will verify demographics, confirm insurance coverage, contact providers when authorization is pending, and escalate issues as needed while aligning with our mission and service standards. The role requires accuracy, revenue cycle knowledge, and strong customer service.

Qualifications

• High School Diploma or 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

Technical skills

Customer service

Time management

Medical terminology

Medical coding

Education

High School Diploma

Job description

Intermountain Health is seeking a Pre-Access Authorization Specialist I to verify eligibility, obtain prior authorizations, and manage denials to support patient financial health.

You will verify demographics, confirm insurance coverage, contact providers when authorization is pending, and escalate issues as needed while aligning with our mission and service standards. The role requires accuracy, revenue cycle knowledge, and strong customer service.