Remote Prior Authorization Specialist

Intermountain Health; United States; Hybrid; USD 26,000 - 34,000; Full time

Job summary

Intermountain Health seeks a Pre-Access Authorization Specialist I to verify insurance eligibility, obtain prior authorizations, and manage denials to protect patient financial health.

The role includes maintaining demographic data, communicating with patients and providers, escalating unresolved issues, and meeting productivity and quality standards. In-person training occurs in Murray, Utah, with full remote work after training.

Qualifications

• Demonstrated experience in a healthcare revenue cycle role utilizing authorization tools.
• Demonstrates basic understanding of medical terminology.
• Demonstrated experience in a customer service role.
• Demonstrated experience in a role requiring strong attention to detail and accuracy.
• Demonstrates basic understanding of healthcare billing and coding procedures.

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

Skills

Revenue Cycle

Insurance Eligibility

Office 365

EMR Technology

Customer service

Time management

Medical terminology

Medical coding

Accuracy

Productivity

Education

High School Diploma or Equivalent

Tools

EPIC

Job description

Intermountain Health seeks a Pre-Access Authorization Specialist I to verify insurance eligibility, obtain prior authorizations, and manage denials to protect patient financial health.

The role includes maintaining demographic data, communicating with patients and providers, escalating unresolved issues, and meeting productivity and quality standards. In-person training occurs in Murray, Utah, with full remote work after training.