Remote Prior-Authorization Specialist I

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

Job summary

Intermountain Health is seeking a Pre-Access Authorization Specialist I to verify insurance eligibility, obtain prior authorizations, and manage denials to support patient financial health. This is a fully remote, full-time role supporting Peaks regional operations.

Responsibilities include updating demographic data, verifying eligibility and benefits, contacting patients or providers for unsecured authorizations, escalating unresolved issues, maintaining work queues, and meeting quality and

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 revenue cycle experience

Job description

Intermountain Health is seeking a Pre-Access Authorization Specialist I to verify insurance eligibility, obtain prior authorizations, and manage denials to support patient financial health. This is a fully remote, full-time role supporting Peaks regional operations.

Responsibilities include updating demographic data, verifying eligibility and benefits, contacting patients or providers for unsecured authorizations, escalating unresolved issues, maintaining work queues, and meeting quality and