Remote Prior Authorization Specialist I

Intermountain Healthcare Inc.; Santa Fe (NM); Remote; USD 27,000 - 39,000; Full time

Job summary

Intermountain Health is seeking a Pre-Access Authorization Specialist I for a fully remote position in the United States. The role emphasizes accurate data handling, insurance eligibility verification, and securing prior authorizations while managing denials to support patient financial health.

Responsibilities include updating demographic data, verifying eligibility, contact with patients/providers, and escalating unresolved issues.

Qualifications

• Demonstrates accuracy in verifying and updating patient/demographic data.
• Verifies eligibility, benefits, and authorization; follows up on appeals/denials as requested.
• Contacts patients/providers when authorization is unsecured prior to service date.

Responsibilities

• Escalates issues that cannot be resolved independently.
• Maintains department/individual work queues and reviews self-quality for due diligence.
• Meets or exceeds productivity, due diligence and quality standards.
• Promotes mission, vision, and values and adheres to 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 in the United States. The role emphasizes accurate data handling, insurance eligibility verification, and securing prior authorizations while managing denials to support patient financial health.

Responsibilities include updating demographic data, verifying eligibility, contact with patients/providers, and escalating unresolved issues.