Job Profile Name Pre-Access-Authorization Specialist I PRN

Pre-Access Authorization Specialist I

The Pre-Access Authorization Specialist I is responsible for accurately verifying and completing insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health. This is a remote PRN position "As needed"

Essential Functions :

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 / technology acumen

Customer service

Time management

Medical terminology

Medical coding

Competency proficiency

Qualifications :

High School Diploma / Equivalent OR 4 years of revenue cycle experience

Minimum of 2 years insurance authorization experience

Physical Requirements :

Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.

Frequent interactions with customers require employees to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.

Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.

For roles requiring driving : Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location : Peaks Regional Office

Work City : Broomfield

Work State : Colorado

Scheduled Weekly Hours : 0

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.81 - $27.45

We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.