Prior Authorization Specialist I - Patient Access & Billing

Intermountain Healthcare Inc.; Broomfield (CO); On-site; USD 27,000 - 39,000; Full time

Job summary

Intermountain Health in Broomfield, Colorado is seeking a Pre-Access Authorization Specialist I to verify insurance eligibility, secure prior authorizations, and manage related denials to support patient financial health. You will confirm and update demographic data, contact patients and providers before scheduled services, and escalate unresolved issues.

The role maintains workloads, upholds service standards, and contributes to a collaborative revenue cycle team.

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.
• 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.

Skills

Revenue cycle

Technical acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Education

High School Diploma/Equivalent

Job description

Intermountain Health in Broomfield, Colorado is seeking a Pre-Access Authorization Specialist I to verify insurance eligibility, secure prior authorizations, and manage related denials to support patient financial health. You will confirm and update demographic data, contact patients and providers before scheduled services, and escalate unresolved issues.

The role maintains workloads, upholds service standards, and contributes to a collaborative revenue cycle team.