Remote Pre-Access Authorization Specialist I

Intermountain Healthcare Inc.; Atlanta (GA); Remote; USD 27,000 - 39,000; Full time

Job summary

The Pre-Access Authorization Specialist I at Intermountain Health is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health.

Essential duties include updating demographics, verifying eligibility, benefits, and authorization; contacting patients/providers when authorization is unsecured; escalating unresolved issues; managing work queues; and meeting productivity,

Qualifications

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

Minimum of 2 years insurance authorization experience

Job description

The Pre-Access Authorization Specialist I at Intermountain Health is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health.

Essential duties include updating demographics, verifying eligibility, benefits, and authorization; contacting patients/providers when authorization is unsecured; escalating unresolved issues; managing work queues; and meeting productivity,