Remote Prior Authorization Specialist I

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

Job summary

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

Key duties include updating demographics, checking eligibility/benefits, contacting providers when authorization is unsecured, escalating unresolved issues, and maintaining quality standards.

Qualifications

• High School Diploma or equivalent, or 4 years revenue cycle experience.
• Minimum 2 years of insurance authorization experience.
• Familiarity with eligibility verification and prior authorization processes.

Responsibilities

• Verifies patient demographics and updates records as needed.
• Accurately checks insurance eligibility, benefits and authorizations; follows up on appeals/denials.
• Contacts patient/provider when authorization is unsecured before service date.
• Escalates unresolved issues to appropriate teams.
• Maintains work queues and self‑quality for due diligence.
• Meets productivity, due diligence and quality standards.
• Upholds mission, vision and 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 role. You will verify insurance eligibility, secure prior authorization, and manage denials to safeguard patient financial health.

Key duties include updating demographics, checking eligibility/benefits, contacting providers when authorization is unsecured, escalating unresolved issues, and maintaining quality standards.