Remote Prior Authorization Specialist

Intermountain Healthcare Inc.; Frankfort (KY); Remote; USD 26,000 - 39,000; Full time

Job summary

Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote position with a 40-hour work week. The role focuses on accurately verifying insurance eligibility, securing prior authorizations, and managing denials to support patient financial health.

Ideal candidates have at least 2 years of insurance authorization experience and strong revenue cycle knowledge, with emphasis on accuracy, communication, and customer service.

Qualifications

• High School Diploma or equivalent or 4 years of revenue cycle experience.
• Minimum of 2 years insurance authorization experience.
• Healthcare/insurance experience preferred.

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/technology 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

Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote position with a 40-hour work week. The role focuses on accurately verifying insurance eligibility, securing prior authorizations, and managing denials to support patient financial health.

Ideal candidates have at least 2 years of insurance authorization experience and strong revenue cycle knowledge, with emphasis on accuracy, communication, and customer service.