Remote Prior Authorization Specialist I

Intermountain Healthcare Inc.; Helena (MT); Remoto; USD 27.000 - 39.000; Tempo pieno

Descrizione del lavoro

Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote role. You will verify insurance eligibility, obtain prior authorizations, and manage denials to protect patient financial health.

The position is 40 hours per week with an hourly pay range listed below. Responsibilities include demographic data management, eligibility verification, follow-up on appeals, and escalation of unresolved issues while maintaining productivity and quality standards.

Competenze

• High School Diploma/Equivalent OR 4 years revenue cycle experience.
• Minimum of 2 years insurance authorization experience.

Mansioni

• 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.

Conoscenze

Revenue cycle knowledge

Technical acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Formazione

High School Diploma/Equivalent OR 4 years revenue cycle experience

Descrizione del lavoro

Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote role. You will verify insurance eligibility, obtain prior authorizations, and manage denials to protect patient financial health.

The position is 40 hours per week with an hourly pay range listed below. Responsibilities include demographic data management, eligibility verification, follow-up on appeals, and escalation of unresolved issues while maintaining productivity and quality standards.